Active NPI
Michael Johnathan Miller
- Occupational Therapist
- Albuquerque, NM
National Provider Identifier
1215599725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0TA.0000858
- Practice address
- 3131 Adams St NE Apt E28
Albuquerque, NM 87110-8027 - Phone
- (772) 971-8230
- NPI assigned
- Jul 3, 2019
- Sex
- Male
- 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 | 0TA.0000858 | CO | Primary |
Addresses
Primary practice location
3131 Adams St NE Apt E28
Albuquerque, NM 87110-8027
Mailing address
3131 Adams St NE Apt E28
Albuquerque, NM 87110-8027
Phone (772) 971-8230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3808 | Other | NM | COTA |
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 |
|---|---|---|---|
| 0TA.0000858 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562112000000",
"number": "1215599725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 ADAMS ST NE APT E28",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871108027",
"telephone_number": "772-971-8230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 ADAMS ST NE APT E28",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871108027",
"telephone_number": "772-971-8230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "MICHAEL",
"middle_name": "JOHNATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-03",
"last_updated": "2019-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "0TA.0000858",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COTA",
"identifier": "3808",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.