Individual provider Active NPI

Susan Denise Miller, OTR/L

  • Pediatric Occupational Therapist
  • Hutchinson, MN
National Provider Identifier
1093154536
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
101451 Issued in MN
Practice address
20288 Highway 15 N
Suite 100
Hutchinson, MN 55350-5684
Phone
(320) 587-2326
Fax
(320) 234-6358
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X 101451 MN
Pediatric Occupational Therapist 225XP0200X 101451 MN Primary

Addresses

Primary practice location

20288 Highway 15 N
Suite 100
Hutchinson, MN 55350-5684

Mailing address

20288 Highway 15 N
Suite 100
Hutchinson, MN 55350-5684
Phone (320) 587-2326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905001682 MN Practitioner - Occupational Therapist in Private Practice 4789186131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

73220 255TH St
Dassel, MN 55325-3213

990 Elm St E
Suite 100
Annandale, MN 55302-9433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101451MNMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Above and Beyond Therapeutic Services LLC CurrentSince Aug 25, 2025 Accepting new patients

Locations

990 Elm St E
Ste 100
Annandale, MN 55302
Phone (320) 221-2674

331 Harrison St W
Annandale, MN 55302
Phone (320) 200-1181

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1093154536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20288 HIGHWAY 15 N",
            "address_2": "SUITE 100",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553505684",
            "telephone_number": "320-587-2326",
            "fax_number": "320-234-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20288 HIGHWAY 15 N",
            "address_2": "SUITE 100",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553505684",
            "telephone_number": "320-587-2326",
            "fax_number": "320-234-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SUSAN",
        "middle_name": "DENISE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "MN",
            "license": "101451",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MN",
            "license": "101451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.