Individual provider Active NPI

Nicole Lynn Miller, OT

  • Occupational Therapist
  • Lake Barrington, IL
National Provider Identifier
1225286487
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056008088 Issued in IL
Practice address
28156 W Northpointe Pkwy
Suite 225
Lake Barrington, IL 60010-2346
Phone
(224) 512-9800
Fax
(224) 512-9714
NPI assigned
Aug 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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 056008088 IL Primary

Addresses

Primary practice location

28156 W Northpointe Pkwy
Suite 225
Lake Barrington, IL 60010-2346

Mailing address

625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-1980

Other names 1

  • Nicole Lynn Brittnacher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090709000541 IL Practitioner - Occupational Therapist in Private Practice 5991857674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 E Central Rd
Arlington Heights, IL 60005-2857
Phone (847) 870-6100

2101 Waukegan Rd
Bannockburn, IL 60015-1836

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute LLC CurrentSince Oct 1, 2016 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Oct 1, 2016 Accepting new patients
Illinois Bone and Joint Institute LLC Occupational Therapist PastSince Nov 15, 2020 Accepting new patients

Locations

1300 E Central Rd
Fl 2
Arlington Heights, IL 60005
Phone (847) 392-4420

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

5057 Paysphere Cir
Chicago, IL 60674

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

1009 State Route 22
Ste 1
Fox River Grove, IL 60021
Phone (847) 462-8707

28156 W Northpointe Pkwy
Ste 225
Lake Barrington, IL 60010
Phone (224) 512-9800

28156 W Northpointe Pkwy
Lake Barrington, IL 60010
Phone (224) 512-9800

28156 W Northpointe Pkwy
Ste 125
Lake Barrington, IL 60010
Phone (224) 512-9800

27401 W State Route 22
Ste 125
Lk Barrington, IL 60010
Phone (847) 381-0388

Organizations & group practices 3

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": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1225286487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28156 W NORTHPOINTE PKWY",
            "address_2": "SUITE 225",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600102346",
            "telephone_number": "224-512-9800",
            "fax_number": "224-512-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056008088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BRITTNACHER",
            "middle_name": "LYNN",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.