Individual provider Active NPI

Alexandra Milliron, OTR/L

  • Occupational Therapist
  • Bellevue, WA
National Provider Identifier
1134634900
Registry record updated Dec 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT60787823 Issued in WA
Practice address
12619 SE 20TH PL
Bellevue, WA 98005-4646
Phone
(425) 456-6200
NPI assigned
Dec 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT60787823 WA Primary

Addresses

Primary practice location

12619 SE 20TH PL
Bellevue, WA 98005-4646

Mailing address

12619 SE 20TH PL
Bellevue, WA 98005-4646
Phone (425) 456-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT60787823WAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1512172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512172800000",
    "number": "1134634900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12619 SE 20TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054646",
            "telephone_number": "425-456-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12619 SE 20TH PL",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054646",
            "telephone_number": "425-456-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIRON",
        "first_name": "ALEXANDRA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-02",
        "last_updated": "2017-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT60787823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2017; 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.