Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Nicholas Ryan Miller

Individual provider Physical Therapist · NPI 1164904603

Mr. Nicholas Ryan Miller is a Physical Therapist in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
Specialties on file
2

Practice location Address checks out

5080 S Westnedge Ave
Portage, MI 49002-0400
Phone: (269) 443-1716
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501301919 (MI)
Personal Care Attendant Taxonomy 3747P1801X

Record details

NPI number1164904603
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 31, 2018
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026
Mailing address16307 E Cd Ave, Augusta, MI 49012-9366

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