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Boden L Miller , ATC LAT

Specialist/Technologist - Athletic Trainer β€’ Pickerington, OH

Active NPI 1831677673 Individual Practitioner Male Practitioner
Practice location in NPPES

300 Opportunity Way
Pickerington, OH 431471296

Call 6147883228 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

300 Opportunity Way

Pickerington, OH 431471296

Telephone 6147883228
Other Listings in Public Data

NPPES lists 1 additional practice-address record in West Lafayette, IN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pickerington and Ohio

9 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Pickerington, OH (2,408 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-06-24
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES OH AT006402

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

900 N John R Wooden Dr

West Lafayette, IN 479072117

Phone: 2602392310

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location June 24, 2021

Registered at 300 OPPORTUNITY WAY, PICKERINGTON, OH 431471296 (Tel: 6147883228)

πŸ“
Updated Business Mailing Address June 24, 2021

Registered at 2105 S 200 E, ANGOLA, IN 467038991 (Tel: 2602392310)

🏒
Secondary Practice Location Registered June 24, 2021

Additional practice office at 900 N John R Wooden Dr, West Lafayette, IN 479072117

πŸ‘€
Provider Name / Credentials Updated June 24, 2021

Recorded as BODEN MILLER, ATC LAT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2021

Specialist/Technologist (license number reported to NPPES: OH AT006402)

βœ…
NPI Profile Active August 03, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 03, 2018

Registered at 900 N JOHN R WOODEN DR, WEST LAFAYETTE, IN 479072117 (Tel: 2602392310)

πŸ“
Business Mailing Address (Initial Record) August 03, 2018

Registered at 900 N JOHN R WOODEN DR, WEST LAFAYETTE, IN 479072117 (Tel: 2602392310)

πŸ‘€
Provider Name / Credentials (Initial Record) August 03, 2018

Recorded as BODEN MILLER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2018

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration August 03, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831677673
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2018
Last Update: June 24, 2021
Sole Proprietor: No

Mailing Address

2105 S 200 E

Angola, IN 467038991

Phone: 2602392310

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.