Jan M Milstead, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

115422 Issued in TX

Practice address

1201 S Ih 35
Ste 105
Round Rock, TX 78664-6615

Phone

(512) 310-7665

Fax

(512) 310-9228

NPI assigned

Jul 30, 2013

Last updated

Jun 13, 2016By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Reavis Rehab & Wellness Center, Inc.

  dba Reavis Rehab

  • Rehabilitation Clinic/Center
  • Round Rock, TX
  • NPI 1265448054
  NPD (past)

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1124460357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S IH 35",
            "address_2": "STE 105",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646615",
            "telephone_number": "512-310-7665",
            "fax_number": "512-310-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S IH 35",
            "address_2": "STE 105",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786646615",
            "telephone_number": "512-310-7665",
            "fax_number": "512-310-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILSTEAD",
        "first_name": "JAN",
        "middle_name": "M",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094474602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori L Miller, RN, CNOR, RNFA
• Melissa Lee Miller, MD
• Tesa Taryn Miller, MD
• Steven Milman, D.D.S.
• Richard James Milne, DC
• Natalija Milutinovic
• Mind Care Health Services LLC
• Mindful Massage LLC
• Ministering Physicians PA
• Ministering Physicians, P.a.

• Occupational Therapist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.