Kelley Kyrene Miller, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

03914 Issued in OH

Practice address

313 N. Hurstbourne Parkway
Suite 211
Louisville, KY 41222

Phone

(512) 412-5847

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1295079101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 ALPINE HWY",
            "city": "FRAZEYSBURG",
            "state": "OH",
            "postal_code": "438229382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N. HURSTBOURNE PARKWAY",
            "address_2": "SUITE 211",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "41222",
            "telephone_number": "512-412-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KELLEY",
        "middle_name": "KYRENE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "03914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Miller
• Kathryn L Miller, PSYD
• Kathryn Leslie Miller, LCSW
• Keith Miller
• Keith Roy Miller, M.D.
• Kelli M Miller, MD
• Kristie Nicole Miller
• Kristy J Miller, LCSW
• Laura K Miller, PT, DPT, NCS, MSCS
• Lauren Marie Miller, MD

• Occupational Therapy Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.