Active NPI
Lisa Marie Miller, OTR/L
- Occupational Therapist
- Youngtown, AZ
National Provider Identifier
1285802603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3666
- Practice address
- 12600 N 113TH Ave
Youngtown, AZ 85363-1162 - Phone
- (602) 914-1332
- NPI assigned
- Feb 19, 2008
- Last updated
- Feb 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | 3666 | AZ | Primary |
Addresses
Primary practice location
12600 N 113TH Ave
Youngtown, AZ 85363-1162
Mailing address
17600 N 79TH Ave
Apt. 725
Glendale, AZ 85308-8682
Phone (623) 692-7119
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 |
|---|---|---|---|
| 3666 | AZ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gier, Inc. | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203379200000",
"number": "1285802603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17600 N 79TH AVE",
"address_2": "APT. 725",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088682",
"telephone_number": "623-692-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12600 N 113TH AVE",
"city": "YOUNGTOWN",
"state": "AZ",
"postal_code": "853631162",
"telephone_number": "602-914-1332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-19",
"last_updated": "2008-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "3666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngtown, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.