Nicole Miller
Individual provider Active NPI Occupational Therapist · Deckerville, MI
NPI 1164901971 · NPPES record last updated Aug 13, 2018
Key facts
- NPI
- 1164901971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5201008429 (MI)
- Practice address
- 3387 Ella St
Deckerville, MI 48427-7720 - Phone
- (989) 751-7243
- NPI assigned
- Aug 13, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201008429 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanilac County | Current | Accepting new patients | |
| Sanilac County | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201008429 | MI | Yes |
Addresses
Primary practice location
3387 Ella St
Deckerville, MI 48427-7720
Mailing address
3755 N Graf Rd
Caro, MI 48723-9782
Phone (989) 751-7243
Other providers in Deckerville, MI
- Thomas I Hazelton
- Judith Ann Kaszyca
- Levi L. Guerrero, MD, PC
- Aram J Makkinejad
- Malorie McVittie
- Dana Nichol
- David Alan Nisbett
- Marisa Ann Pierce
- Emily Jean Puzan
- Sanilac Therapeutic Alternative Residential Treatment Corp
All providers in Deckerville, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.