Active NPI
Patricia A. Miliacca, OT
- Occupational Therapist
- Milwaukee, WI
National Provider Identifier
1356517510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1325-26
- Practice address
- 6800 N 76TH St
Milwaukee, WI 53223-5002 - Phone
- (414) 353-5000
- NPI assigned
- May 7, 2008
- 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 | 1325-26 | WI | Primary |
Addresses
Primary practice location
6800 N 76TH St
Milwaukee, WI 53223-5002
Mailing address
910 W Fairy Chasm Rd
Bayside, WI 53217-1610
Phone (414) 704-2955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40518000 | Medicaid | WI |
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 |
|---|---|---|---|
| 1325-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478822400000",
"number": "1356517510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 W FAIRY CHASM RD",
"city": "BAYSIDE",
"state": "WI",
"postal_code": "532171610",
"telephone_number": "414-704-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 N 76TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532235002",
"telephone_number": "414-353-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILIACCA",
"first_name": "PATRICIA",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-07",
"last_updated": "2016-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "1325-26",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40518000",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.