Sheresa Mills, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10752 Issued in NC

Practice address

500 Carolina MDWS
Chapel Hill, NC 27517-8471

Phone

(919) 904-7059

NPI assigned

Jun 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1386092260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 BALTIMORE ANNAPOLIS BLVD STE 111",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463956",
            "telephone_number": "410-544-2500",
            "fax_number": "410-384-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CAROLINA MDWS",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178471",
            "telephone_number": "919-904-7059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "645 Baltimore Annapolis Blvd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Severna Park",
            "state": "MD",
            "postal_code": "211463956",
            "country_code": "US",
            "telephone_number": "410-544-2500",
            "fax_number": "410-384-9703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "SHERESA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "355700",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "10752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camilla Lamaude Mills, M.D.
• Jesse R Mills Jr., LPN
• Katherine Waverly Mills, FNP
• Marcia Ann Mills, RD, LDN
• Sarah Mills, PHD, MPH
• William A Mills Jr., MD
• Stephanie Martof Milosovic
• Colleen Lynn Milroy, M.D.
• Renee Ann Milroy, CPNP-AC
• Takiyah Milton, LCSWA

• Occupational Therapist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.