Melissa Miller, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-008403 Issued in AZ

Practice address

201 E 12TH St
Durango, CO 81301-5206

Phone

(970) 247-5411

NPI assigned

Apr 7, 2021

Last updated

Aug 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Durango School District 9-R

  • Clinic/Center
  • Durango, CO
  • NPI 1447555735
  NPD (past)
• Durango School District 9-R

  • Local Education Agency (LEA)
  • Durango, CO
  • NPI 1952439069
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1083293880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 12TH ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015206",
            "telephone_number": "970-247-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 12TH ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015206",
            "telephone_number": "970-247-5411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42211 N 41st Dr Ste 145",
            "address_purpose": "LOCATION",
            "city": "Anthem",
            "state": "AZ",
            "postal_code": "850863812",
            "country_code": "US",
            "telephone_number": "602-808-9912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MELISSA",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-008403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmiller1721458@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "5777 E Mayo BLVD",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850544502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Carlyle Miller, DPM
• Josette M Miller, DO
• Kelly Lang Miller, MD.
• Linda L Miller, RN
• Mark Miller, O.D.
• Morgan Tanner Miller, OD
• Janis Milliet, PT
• Christopher Paul Mills, DO
• Mindful Mountain Healing
• Mason Miner, DDS

• Occupational Therapist in Durango, CO
• Providers in Durango, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.