Patricia Dianne Milgrim, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR109 Issued in AR

Practice address

32 Lawrence Road 134
Black Rock, AR 72415-9106

Phone

(870) 869-2341

NPI assigned

Feb 27, 2007

Last updated

Aug 2, 2010By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1245367614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 LAWRENCE ROAD 134",
            "city": "BLACK ROCK",
            "state": "AR",
            "postal_code": "724159106",
            "telephone_number": "870-869-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 LAWRENCE ROAD 134",
            "city": "BLACK ROCK",
            "state": "AR",
            "postal_code": "724159106",
            "telephone_number": "870-869-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILGRIM",
        "first_name": "PATRICIA",
        "middle_name": "DIANNE",
        "name_prefix": "Miss",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157926721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "OTR109",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Black Rock, AR
• Providers in Black Rock, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.