Kenzie Renee Miller, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31007726A Issued in IN

Practice address

1031 S 13TH St
Decatur, IN 46733-1807

Phone

(260) 702-0410

Fax

(260) 724-7778

NPI assigned

Jun 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kenzie Salzbrenner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Indiana Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Bluffton, IN
  • NPI 1629110192

  Occupational Therapist

  NPD (past)
• Indiana Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Elkhart, IN
  • NPI 1427535749

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1528797040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 LAHMEYER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468155676",
            "telephone_number": "260-432-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 S 13TH ST",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467331807",
            "telephone_number": "260-702-0410",
            "fax_number": "260-724-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KENZIE",
        "middle_name": "RENEE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007726A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENZIE",
            "last_name": "SALZBRENNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaylin Lutter
• Kara Nicole Mankey, FNP-C
• Michael a. Harshman P.C.
• Midwest Eye Consultants P.C.
• Dawna Miller
• Corwin Minerd, PHARMD
• Hitesh Manharlal Mistry
• Madelene Montgomery, LMHCA
• Megan Elizabeth Mullet
• Anthony David Mundt, PHARM D

• Occupational Therapist in Decatur, IN
• Providers in Decatur, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.