Active NPI
Stacey T Miller
- Occupational Therapist
- Rockville, MD
National Provider Identifier
1184894917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 05116
- Practice address
- 866 College Pkwy
Apt 201
Rockville, MD 20850-1940 - Phone
- (508) 579-6357
- NPI assigned
- Mar 7, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 05116 | MD | Primary |
Addresses
Primary practice location
866 College Pkwy
Apt 201
Rockville, MD 20850-1940
Mailing address
866 College Pkwy
Apt 201
Rockville, MD 20850-1940
Phone (508) 579-6357
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05116 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306195200000",
"number": "1184894917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "866 COLLEGE PKWY",
"address_2": "APT 201",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501940",
"telephone_number": "508-579-6357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "866 COLLEGE PKWY",
"address_2": "APT 201",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501940",
"telephone_number": "508-579-6357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "STACEY",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-07",
"last_updated": "2011-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "05116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.