Individual provider Active NPI

Amanda Marlene Mills, OTR/L

  • Occupational Therapist
  • Painesville, OH
National Provider Identifier
1174293237
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
08690 Issued in OH
Practice address
585 Riverside Dr
Painesville, OH 44077-5323
Phone
(440) 812-5071
NPI assigned
Sep 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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 08690 OH Primary

Addresses

Primary practice location

585 Riverside Dr
Painesville, OH 44077-5323

Mailing address

1712 Warrick Dr
Ashtabula, OH 44004-2255
Phone (440) 812-5071

Other practice location 1

1712 Warrick Dr
Ashtabula, OH 44004-2255
Phone (440) 812-5071

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
08690OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
MCC Therapies, LLC CurrentSince Nov 30, 2025 Accepting new patients

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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1174293237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 WARRICK DR",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440042255",
            "telephone_number": "440-812-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 RIVERSIDE DR",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440775323",
            "telephone_number": "440-812-5071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1712 Warrick Dr",
            "address_purpose": "LOCATION",
            "city": "Ashtabula",
            "state": "OH",
            "postal_code": "440042255",
            "country_code": "US",
            "telephone_number": "440-812-5071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "AMANDA",
        "middle_name": "MARLENE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "08690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.