Active NPI
Lori Ellen Miller, O.T.R./L
- Occupational Therapist
- Dix Hills, NY
National Provider Identifier
1174767966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2595
- Practice address
- 337 Deer Park Rd
Dix Hills, NY 11746-5203 - Phone
- (631) 385-2411
- NPI assigned
- Apr 24, 2009
- Last updated
- Apr 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2595 | NY | Primary |
Addresses
Primary practice location
337 Deer Park Rd
Dix Hills, NY 11746-5203
Mailing address
45 Prospect St
Smithtown, NY 11787-2716
Phone (631) 361-2692
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2595 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sayville Rehabilitation | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Sayville, NY
- NPI 1699982017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240531200000",
"number": "1174767966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 PROSPECT ST",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117872716",
"telephone_number": "631-361-2692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 DEER PARK RD",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117465203",
"telephone_number": "631-385-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LORI",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "O.T.R./L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-24",
"last_updated": "2009-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "2595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.