Ian Christopher Miller, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2019029030 Issued in MO

Practice address

801 N 11TH St
Saint Louis, MO 63101-1015

Phone

(314) 231-3720

NPI assigned

Aug 14, 2019

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1295381358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 SABOURIN DR APT L",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630743361",
            "telephone_number": "636-751-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N 11TH ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631011015",
            "telephone_number": "314-231-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "IAN",
        "middle_name": "CHRISTOPHER",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2019029030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary A Miller, MD
• Gregory Charles Miller, MD
• Hannah Miller, PLPC
• Heather Miller, MSN, APRN, AGPCNP-BC
• Heidi Miller, M.D.
• Jacob Ryan Miller, MD
• Jacqueline Miller, OTR/L, BCPR
• Jacquelyn Miller, LCSW
• James O Miller, FNP
• Jasmine D Miller, MSW, LMSW

• Occupational Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.