Individual provider Active NPI

Miranda Lipp, OT

  • Occupational Therapist
  • Munster, IN
National Provider Identifier
1437782620
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31007074A Issued in IN
Practice address
10110 Don S Powers Dr
Munster, IN 46321-4069
Phone
(219) 961-9480
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X 31007074A IN Primary

Addresses

Primary practice location

10110 Don S Powers Dr
Munster, IN 46321-4069

Mailing address

900 Rand Rd Ste 300
Des Plaines, IL 60016-2359
Phone (847) 324-3976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200310000709 IN Practitioner - Occupational Therapist in Private Practice 3375971195 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rci (WRS) LLCGroup PAC ID 5092624510, 325 clinicians

Practice addresses (Care Compare)

9150 E 109TH Ave
Suite 1D
Crown Point, IN 46307-7687
Phone (219) 988-1332

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31007074AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rci (WRS), LLC CurrentSince Mar 3, 2025 Accepting new patients
Rci (WRS), LLC. CurrentSince Mar 3, 2025 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC CurrentSince Feb 1, 2020 Accepting new patients
Advanced Physical Therapy, LLC Occupational Therapist CurrentSince Feb 1, 2020 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Feb 1, 2020 Accepting new patients
Rci (WRS), LLC. Current Accepting new patients
Advanced Physical Therapy, LLC Occupational Therapist CurrentSince Feb 1, 2020 Accepting new patients
Bone & Joint Specialists, PC Occupational Therapist CurrentSince Feb 23, 2021 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Current Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

9150 E 109th Ave
Ste 1D
Crown Point, IN 46307
Phone (219) 363-6051

12788 State Road 23
Granger, IN 46530
Phone (574) 271-1434

1738 165th St
Ste A
Hammond, IN 46320
Phone (219) 844-1782

2213 Main St
Highland, IN 46322
Phone (219) 795-3360

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

9001 Broadway
Merrillville, IN 46410
Phone (219) 795-3360

8455 Broadway
Merrillville, IN 46410
Phone (219) 769-7211

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1437782620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RAND RD STE 300",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162359",
            "telephone_number": "847-324-3976",
            "fax_number": "847-929-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 DON S POWERS DR",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214069",
            "telephone_number": "219-961-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPP",
        "first_name": "MIRANDA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007074A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.