Brandi Miller

Individual provider Active NPI Occupational Therapy Assistant · Syracuse, IN

NPI 1285044644 · NPPES record last updated May 6, 2014

Key facts

NPI
1285044644
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
32001879A (IN)
Practice address
8338 E McClintic Rd
Syracuse, IN 46567-7526
Phone
(574) 275-3099
NPI assigned
May 6, 2014
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
32001879AINMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brandi Miller Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32001879A IN Yes

Addresses

Primary practice location

8338 E McClintic Rd
Syracuse, IN 46567-7526

Mailing address

8338 E McClintic Rd
Syracuse, IN 46567-7526
Phone (574) 275-3099

Other providers in Syracuse, IN

All providers in Syracuse, IN · Occupational Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.