Active NPI
Kristin H Miller Ryan, OTR/L
- Occupational Therapist
- Moorestown, NJ
National Provider Identifier
1477880169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR00091000
- Practice address
- 101 Executive Dr
Moorestown, NJ 08057-4236 - Phone
- (609) 707-8613
- NPI assigned
- Nov 17, 2009
- Last updated
- Jul 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 46TR00091000 | NJ | Primary |
Addresses
Primary practice location
101 Executive Dr
Moorestown, NJ 08057-4236
Mailing address
101 Executive Dr
Moorestown, NJ 08057-4236
Phone (609) 707-8613
Other names 1
- Kristin Heidi Miller
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1477880169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 EXECUTIVE DR",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080574236",
"telephone_number": "609-707-8613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 EXECUTIVE DR",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080574236",
"telephone_number": "609-707-8613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER RYAN",
"first_name": "KRISTIN",
"middle_name": "H",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-17",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR00091000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "MILLER",
"middle_name": "HEIDI",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.