Ashley D. Miller, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT006478 Issued in GA

Practice address

165 Ridgecrest Cir Ste B
Clayton, GA 30525-4196

Phone

(678) 357-5849

NPI assigned

Dec 5, 2014

Sex

Female

Sole proprietor

Yes

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.

• Fundamental Therapy Services, LLC

  • Occupational Therapist
  • Clayton, GA
  • NPI 1780110155
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 23, 2019.

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1346648474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4649 EAST WOLF CREEK",
            "city": "TIGER",
            "state": "GA",
            "postal_code": "30576",
            "telephone_number": "706-782-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 RIDGECREST CIR STE B",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305254196",
            "telephone_number": "678-357-5849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 Heffner Rd",
            "address_purpose": "LOCATION",
            "city": "Limerick",
            "state": "PA",
            "postal_code": "194681786",
            "country_code": "US",
            "telephone_number": "610-787-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ASHLEY",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-05",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OT006478",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medlink Georgia, Inc
• Medlink Georgia, Inc
• Medlink Georgia, Inc
• Medlink Georgia, Inc
• Medlink Georgia, Inc
• Autumn Mills, NP-C
• Mlmcuc, LLC
• Mlmcuc, LLC
• Lisa Mooney
• Harriet Josephine Moseley, LPN

• All providers in Clayton, GA
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.