Active NPI
Nancy Miller, O.T.
- Occupational Therapist
- Streator, IL
National Provider Identifier
1346361979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.007128
- Practice address
- 111 Spring St
St. Mary'S Hospital
Streator, IL 61364-3332 - Phone
- (815) 673-4566
- Fax
- (815) 673-4683
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 056.007128 | IL | Primary |
Addresses
Primary practice location
111 Spring St
St. Mary'S Hospital
Streator, IL 61364-3332
Mailing address
1562 Woodland Knolls Rd
Germantown Hills, IL 61548-8587
Phone (309) 219-1831
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 |
|---|---|---|---|
| 056.007128 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1346361979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1562 WOODLAND KNOLLS RD",
"city": "GERMANTOWN HILLS",
"state": "IL",
"postal_code": "615488587",
"telephone_number": "309-219-1831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 SPRING ST",
"address_2": "ST. MARY'S HOSPITAL",
"city": "STREATOR",
"state": "IL",
"postal_code": "613643332",
"telephone_number": "815-673-4566",
"fax_number": "815-673-4683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "NANCY",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.007128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Streator, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.