Mini Miracles Pediatric Therapy, PLLC
NPI 1477991560 · Early Intervention Provider Agency · Johnson City, TN
Mini Miracles Pediatric Therapy, PLLC is a Early Intervention Provider Agency organization in Johnson City, TN (NPI 1477991560).
Provider details
- NPI number
- 1477991560
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Douglas Brown, Ceo/Owner(601) 624-1237
- License
- 0119003962 (VA)
Specialties & taxonomies
Agencies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-06-11
- Last updated
- 2023-10-03
- Certified
- 2023-10-03
Frequently asked questions
- What is Mini Miracles Pediatric Therapy, PLLC's NPI number?
- Mini Miracles Pediatric Therapy, PLLC's National Provider Identifier (NPI) is 1477991560, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mini Miracles Pediatric Therapy, PLLC?
- Mini Miracles Pediatric Therapy, PLLC is classified in the NPPES registry as Early Intervention Provider Agency (Agencies).
- Where is Mini Miracles Pediatric Therapy, PLLC located?
- Mini Miracles Pediatric Therapy, PLLC's practice location on file with NPPES is 2214 E Fairview Ave, Johnson City, TN 37601-2860.
- What is Mini Miracles Pediatric Therapy, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mini Miracles Pediatric Therapy, PLLC is (423) 928-6464.
- Who is the authorized official for Mini Miracles Pediatric Therapy, PLLC?
- The authorized official listed on Mini Miracles Pediatric Therapy, PLLC's NPPES record is Douglas Brown, Ceo/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mini Miracles Pediatric Therapy, PLLC's NPI active?
- Yes — Mini Miracles Pediatric Therapy, PLLC's NPI (1477991560) is active in the NPPES registry as of the last update on 2023-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.