Lisa Heather Miller, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4205 Issued in MA

Practice address

799 W Boylston St
Worcester, MA 01606-3071

Phone

(508) 854-0652

Fax

(508) 854-0733

NPI assigned

Apr 17, 2007

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 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Visions of Independence, LLC

  • Occupational Therapist
  • Sharon, MA
  • NPI 1992751457
  Medicare reassignment
• Greater Boston Guild for the Blind

  • Adult Day Care Clinic/Center
  • Boston, MA
  • NPI 1316065782
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407072846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SETON DR",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455468",
            "telephone_number": "508-845-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 W BOYLSTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016063071",
            "telephone_number": "508-854-0652",
            "fax_number": "508-854-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LISA",
        "middle_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "4205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0701998",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Miller
• Kelvin Lewis Miller, PMHNP
• Kenneth B Miller, MD
• Lamar Derrick Miller
• Lisa Miller
• Marcia J Miller, CRNA
• Melissa A Miller, PHARM.D.
• Phylicia Miller
• Richard Edward Miller, MSW
• Sarah Miller

• Occupational Therapist in Worcester, MA
• Providers in Worcester, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.