Tricia Anne Miller, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

102849 Issued in MN

Practice address

3908 Pine LN
Saint Bonifacius, MN 55375-1223

Phone

(952) 446-9426

NPI assigned

Aug 6, 2013

Last updated

Aug 6, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1427480037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 PINE LN",
            "city": "SAINT BONIFACIUS",
            "state": "MN",
            "postal_code": "553751223",
            "telephone_number": "952-446-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 PINE LN",
            "city": "SAINT BONIFACIUS",
            "state": "MN",
            "postal_code": "553751223",
            "telephone_number": "952-446-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "TRICIA",
        "middle_name": "ANNE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MN",
            "license": "102849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley L Engstrom
• Lacey Machemehl, M.A.
• Chase Matthew Martin, D.C.
• Daniel Ray Miller, MA, LMFT
• Patti Jane Miller, M.A., L.P.
• Karen Moberg, M.ED, ATC
• Sonja Squiers, MS, LAT, ATC
• St Bonifacius Chiropractic L.L.C. (St. Bonifacius Chiropractic)
• Nathan Michael Tellers, ATC
• Vibrant Health Family Chiropractic LLC

• Physical Rehabilitation Occupational Therapist in St Bonifacius, MN
• Providers in St Bonifacius, MN by specialty
• Physical Rehabilitation Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.