Individual provider Active NPI

Caitlin Lewis Miller, OTD, OTR/L

  • Occupational Therapist
  • Boca Raton, FL
National Provider Identifier
1164100616
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT24350 Issued in FL
Practice address
7301 W Palmetto Park Rd Ste 101C
Boca Raton, FL 33433-3455
Phone
(561) 392-5131
NPI assigned
Jul 6, 2023
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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 OT24350 FL Primary

Addresses

Primary practice location

7301 W Palmetto Park Rd Ste 101C
Boca Raton, FL 33433-3455

Mailing address

2375 Carlyle Place Dr Apt 104
Winston Salem, NC 27103-5062
Phone (336) 831-5950

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718000049 FL Practitioner - Occupational Therapist in Private Practice 5991165300 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT24350FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lymphatx Inc Occupational Therapist CurrentSince Jul 17, 2023 Accepting new patients
Lymphatx Inc CurrentSince Jul 17, 2023 Accepting new patients

Locations

7301 W Palmetto Park Rd
Ste 101C
Boca Raton, FL 33433
Phone (561) 392-5131

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1164100616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 CARLYLE PLACE DR APT 104",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035062",
            "telephone_number": "336-831-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 W PALMETTO PARK RD STE 101C",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333455",
            "telephone_number": "561-392-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CAITLIN",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT24350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.