Joan Carlsonmiller V

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

000016 Issued in OH

Practice address

633 Tollis Pkwy
Broadview HTS, OH 44147-1811

Phone

(440) 582-3563

NPI assigned

Mar 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235267485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 TOLLIS PKWY",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441471811",
            "telephone_number": "440-582-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 TOLLIS PKWY",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441471811",
            "telephone_number": "440-582-3563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSONMILLER",
        "first_name": "JOAN",
        "name_suffix": "V",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "000016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Broadview HTS, OH
• Providers in Broadview HTS, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.