Active NPI
Jennifer Miller, COTA
- Occupational Therapy Assistant
- Port Orchard, WA
National Provider Identifier
1245897719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 2288 Fircrest Dr SE
Port Orchard, WA 98366-2641 - Phone
- (360) 443-3530
- NPI assigned
- May 21, 2019
- Sex
- Female
- 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 Therapy Assistant | 224Z00000X | Primary |
Addresses
Primary practice location
2288 Fircrest Dr SE
Port Orchard, WA 98366-2641
Mailing address
31906 2ND LN SW Apt E102
Federal Way, WA 98023-4670
Phone (253) 205-4919
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1245897719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31906 2ND LN SW APT E102",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980234670",
"telephone_number": "253-205-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2288 FIRCREST DR SE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983662641",
"telephone_number": "360-443-3530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JENNIFER",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-21",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.