Active NPI
Traci Dawn Miller, COTA
- Occupational Therapy Assistant
- Martinsburg, PA
National Provider Identifier
1275097693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP00137L
- Practice address
- 437 Givler Dr
Martinsburg, PA 16662-1635 - Phone
- (814) 793-1319
- Fax
- (855) 232-8604
- NPI assigned
- Jan 30, 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 | OP00137L | PA | Primary |
Addresses
Primary practice location
437 Givler Dr
Martinsburg, PA 16662-1635
Mailing address
437 Givler Dr
Martinsburg, PA 16662-1635
Phone (814) 793-1319
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP00137L | PA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Healing Solutions Pennsylvania and Delaware LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nurse Practitioner
- Barrington, NJ
- NPI 1306272075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1275097693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "437 GIVLER DR",
"city": "MARTINSBURG",
"state": "PA",
"postal_code": "166621635",
"telephone_number": "814-793-1319",
"fax_number": "855-232-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 GIVLER DR",
"city": "MARTINSBURG",
"state": "PA",
"postal_code": "166621635",
"telephone_number": "814-793-1319",
"fax_number": "855-232-8604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TRACI",
"middle_name": "DAWN",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-30",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP00137L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.