Provider Demographics
NPI:1033138649
Name:MILLER-WARRING, TINA MARIE (PT)
Entity type:Individual
Prefix:MRS
First Name:TINA
Middle Name:MARIE
Last Name:MILLER-WARRING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:TINA
Other - Middle Name:MARIE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:
Practice Address - Street 1:16040 PARK VALLEY DR
Practice Address - Street 2:BUILDING B, SUITE 100
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-3573
Practice Address - Country:US
Practice Address - Phone:512-218-1222
Practice Address - Fax:512-218-1393
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1141414225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T7900OtherBCBS
TX8T7900Medicare PIN