Gracelynn Miller, COTA
Individual provider Active NPI Occupational Therapy Assistant · Richland, MI
NPI 1487514469 · NPPES record last updated Nov 13, 2025
Key facts
- NPI
- 1487514469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 5202010334 (MI)
- Practice address
- 8599 N 32ND St Ste 104
Richland, MI 49083-8570 - Phone
- (269) 203-7394
- Fax
- (269) 359-3710
- NPI assigned
- Nov 13, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5202010334 | MI | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Therapy & Wellness LLC | Current |
Accepting new patients |
Locations
8599 N 32nd St
Ste 104
Richland, MI 49083
Phone (269) 203-7394
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5202010334 | MI | Yes |
Addresses
Primary practice location
8599 N 32ND St Ste 104
Richland, MI 49083-8570
Mailing address
6866 120TH Ave
Fennville, MI 49408-9759
Phone (269) 203-7394
Other providers in Richland, MI
- Medical Support Services, Inc.
- Samantha L Mehaffey
- Heather Nicole Merveldt
- Midwest Compression LLC
- Anne Marie Miller
- Gregory P Mindock
- Ella-Grace Mulnix
- Neurodc LLC
- James Barry Nolin
- Tina Maria Orley
All providers in Richland, MI · Occupational Therapy Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.