Jill Nicole Minehan, MOTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT60293992 Issued in WA

Practice address

1871 NW Gilman Blvd Ste 2
Issaquah, WA 98027-8116

Phone

(425) 657-6020

NPI assigned

Nov 26, 2012

Sex

Female

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)

Enrolled

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1336483767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 MATTERHORN PL NW",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980277863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 NW GILMAN BLVD STE 2",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278116",
            "telephone_number": "425-657-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINEHAN",
        "first_name": "JILL",
        "middle_name": "NICOLE",
        "credential": "MOTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT60293992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sienna Miller, ND
• Jamie Mills
• Lindsey Johanna Mills, DPT
• Brittny L Millward, RPH
• John S Milne, M.D.
• Suzanne M. Miner, PAC
• Christi M Miret
• Mirsepasi and Associates, Inc
• Lavnika Anand Mishra, DPT, MPT
• Dravya Mistry, P.T.

• Pediatric Occupational Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.