Jennie C Milliner, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13948 Issued in CA

Practice address

36624 Gallery LN
Beaumont, CA 92223-8130

Phone

(909) 522-7925

NPI assigned

Mar 26, 2017

Last updated

Jul 9, 2024By 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 8

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Interface Rehab, Inc.

  • Assisted Living Facility
  • Healdsburg, CA
  • NPI 1053178244
  NPD
• Interface Rehab, Inc.

  • Physical Disabilities Residential Treatment Facility
  • Placentia, CA
  • NPI 1306960851
  NPD

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1255862769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36624 GALLERY LN",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238130",
            "telephone_number": "909-522-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36624 GALLERY LN",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922238130",
            "telephone_number": "909-522-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLINER",
        "first_name": "JENNIE",
        "middle_name": "C",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-26",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "13948",
            "primary": true
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "CA",
            "license": "13948",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "CA",
            "license": "13948",
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "CA",
            "license": "13948",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "CA",
            "license": "13948",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CA",
            "license": "13948",
            "primary": false
        },
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "CA",
            "license": "13948",
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "CA",
            "license": "13948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mfi Wellwood Center
• Nellie Barbara Mgeni
• Shyrea Minton
• Heidi Diana Mitchell, RN
• Mitchell/Zaw Dental Corporation (Oak Valley Plaza Dental Group)
• Mobilephlebotomytech
• Steven Muir Moffatt

• Occupational Therapist in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.