Amy Elizabeth Miltenberger

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 3887 Issued in CA

Practice address

9385 W Donald Dr
Peoria, AZ 85383-2988

Phone

(602) 875-5616

Fax

(623) 227-2030

NPI assigned

Aug 10, 2012

Last updated

Jan 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Fuller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Theracare PLLC

  • Occupational Therapist
  • Peoria, AZ
  • NPI 1962784249
  NPD

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1245587039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 E OBERLIN WAY",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853313618",
            "telephone_number": "805-598-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9385 W DONALD DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832988",
            "telephone_number": "602-875-5616",
            "fax_number": "623-227-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILTENBERGER",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 3887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FULLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Anne Miller, M.S., CCC-SLP
• Amber Mills
• Hailee Mills
• Wayne M Milner
• Ame Lynne Milosevich
• Ani Minasian, PHARM.D
• Torin Minatra
• Mindful Heart Center LLC
• Minds in Balance Psychiatry PLLC
• Cheryl Lynn Minear

• Occupational Therapist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.