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

Individual provider Speech-Language Pathologist · NPI 1366076499

MS. Mikala Miller is a Qualified Speech Language Pathologist in Fairport, New York. Qualified in 2020, 6 years ago. Practices with Fox Rehabilitation Services LLC, a 307-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

149 N Main St
Fairport, NY 14450-1434
Phone: (585) 377-2230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 104598-01 (NY)

Record details

NPI number1366076499
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2020
Last updated in NPPESFebruary 27, 2020
Certification dateFebruary 27, 2020
Mailing address140 Paddy Ln, Macedon, NY 14502-8952

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Fox Rehabilitation Services Llc — 307 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairport