Kerri Lynne Miller, OTR

Primary specialty

SpecialistTaxonomy code 174400000X

License

019484-1 Issued in NY

Practice address

201 I.U. Willets Road
St. Charles Rehab
Albertson, NY 11507

Phone

(516) 739-4900

Fax

(516) 739-4909

NPI assigned

May 20, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432080000000",
    "number": "1477932606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 I.U. WILLETS ROAD",
            "address_2": "ST. CHARLES REHAB",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "11507",
            "telephone_number": "516-739-4900",
            "fax_number": "516-739-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 I.U. WILLETS ROAD",
            "address_2": "ST. CHARLES REHAB",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "11507",
            "telephone_number": "516-739-4900",
            "fax_number": "516-739-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KERRI",
        "middle_name": "LYNNE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "019484-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164481529",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine McGrath
• Medi Life Inc
• Medical 360 House Call, PLLC
• Sara Menashehoff, D.D.S
• Theodore Wayne Meshover, O.D.
• Kathryn A. Mirino, R.N.
• Amad Anwar Mirza, RPH
• Dean Mitchell, P.T.
• Neeraj Modi, MD
• Richard Bennet Morrow, MD

• Specialist in Albertson, NY
• Providers in Albertson, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.