Active NPI
Lenard Harvey Miller, MS, OTR
- Occupational Therapist
- Brookston, IN
National Provider Identifier
1407985187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31000116A
- Practice address
- 111 West Third St
Brookston, IN 47923-0404 - Phone
- (765) 563-6868
- NPI assigned
- Mar 5, 2007
- Sex
- Male
- 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 | 31000116A | IN | Primary |
Addresses
Primary practice location
111 West Third St
Brookston, IN 47923-0404
Mailing address
PO Box 404
Brookston, IN 47923-0404
Organizations & group practices 1
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.
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31000116A | IN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Innovations Inc | Occupational Therapist | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1407985187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 404",
"city": "BROOKSTON",
"state": "IN",
"postal_code": "479230404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WEST THIRD ST",
"city": "BROOKSTON",
"state": "IN",
"postal_code": "479230404",
"telephone_number": "765-563-6868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LENARD",
"middle_name": "HARVEY",
"name_prefix": "Mr.",
"credential": "MS, OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31000116A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookston, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.