Dianne Marie Miklos, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

788 Issued in MT

Practice address

80 Four Mile Dr Ste 14a
Kalispell, MT 59901-2665

Phone

(406) 752-0330

Fax

(406) 752-0930

NPI assigned

Dec 20, 2006

Last updated

May 4, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Rehabilitation Services LLCGroup PAC ID 1456451533, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Rehabilitation Services LLC

  • Physical Therapy Clinic/Center
  • Kalispell, MT
  • NPI 1508084641
  Medicare reassignment Care Compare group NPD
• Lymphedema and Occupational Therapy Service, Inc

  dba Hand Therapy and Lymphedema Clinic, Inc

  • Occupational Therapy Assistant
  • Kalispell, MT
  • NPI 1649477647
  Authorized official Same address or phone
• Tracy Hand & Occupational Therapy

  • Durable Medical Equipment & Medical Supplies
  • Kalispell, MT
  • NPI 1730394651
  NPD (past)
• Tracy Hand & Occupational Therapy

  • Occupational Therapist
  • Kalispell, MT
  • NPI 1962593889
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1366506966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3033",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "59903",
            "telephone_number": "406-752-0330",
            "fax_number": "406-752-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FOUR MILE DR STE 14A",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012665",
            "telephone_number": "406-752-0330",
            "fax_number": "406-752-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLOS",
        "first_name": "DIANNE",
        "middle_name": "MARIE",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MT",
            "identifier": "66069",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0349690",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "670002252",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Metcalfe
• Michael C Bowman DDS PLLC
• Rodney N Michel, PTA
• Kevin Mielke, RPH
• Lynn Mikkelsen, LCPC
• Milestone Functional Restoration
• Sonya Harder Milheim, PMHNP
• Brian L Miller, PT, MS
• Christine Kelli Miller, DNP
• Katie Leblanc Miller, LMT

• Occupational Therapist in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Occupational Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2015; 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.