Individual provider Active NPI

Kaitlyn Miller

  • Occupational Therapist
  • Leander, TX
National Provider Identifier
1295553568
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
124875 Issued in TX
Practice address
705 Milton CV
Leander, TX 78641-2466
Phone
(512) 839-5473
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 124875 TX Primary

Addresses

Primary practice location

705 Milton CV
Leander, TX 78641-2466

Mailing address

705 Milton CV
Leander, TX 78641-2466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250218003261 TX Practitioner - Occupational Therapist in Private Practice 6800316019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cole Physical Therapy IncGroup PAC ID 4183670441, 16 clinicians

Practice addresses (Care Compare)

1004 Marble Heights Dr
B
Marble Falls, TX 78654-4543
Phone (830) 798-3497

216 E College Ave
Mason, TX 76856-3103
Phone (325) 347-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
124875TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Physical Therapy Inc CurrentSince Dec 16, 2024 Accepting new patients
St Davids Heart & Vascular, PLLC Past Accepting new patients

Locations

1316 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 798-3497

703 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 896-4545

113 W Young St
Llano, TX 78643
Phone (830) 798-2082

1004 Marble Heights Dr
#B
Marble Falls, TX 78654
Phone (830) 798-3497

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1295553568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MILTON CV",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786412466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 MILTON CV",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786412466",
            "telephone_number": "512-839-5473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "124875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.