Active NPI
Theresa Kiernan Miller, OTR/CHT
- Hand Occupational Therapist
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 6815
- Practice address
- 3787 Shipyard Blvd
Physical Therapy
Wilmington, NC 28403-6148 - Phone
- (910) 341-2444
- Fax
- (910) 332-1519
- NPI assigned
- Oct 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 6815 | NC | Primary |
| Hand Occupational Therapist | 225XH1200X | 3109 | FL |
Addresses
Primary practice location
3787 Shipyard Blvd
Physical Therapy
Wilmington, NC 28403-6148
Mailing address
3787 Shipyard Blvd
Physical Therapy
Wilmington, NC 28403-6148
Phone (910) 341-2444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6815 | Other | NC | OCCUPATIONAL THERAPY LICENSE |
| 3109 | Other | FL | OCCUPATIONAL THERAPY LICE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8115 Market St
Suite 108
Wilmington, NC 28411-8429
Phone (910) 332-3800
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- Quality
- 85.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6815 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Current | Accepting new patients | |
| Emergeortho PA | Current | Accepting new patients |
Locations
120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836
799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079
3787 Shipyard Blvd
Wilmington, NC 28403
Phone (910) 341-2444
2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534
8115 Market St
Ste 108
Wilmington, NC 28411
Phone (910) 763-2361
Organizations & group practices 2
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.
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- Durable Medical Equipment & Medical Supplies
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- NPI 1841170222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1598850729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3787 SHIPYARD BLVD",
"address_2": "PHYSICAL THERAPY",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036148",
"telephone_number": "910-341-2444",
"fax_number": "910-332-1519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3787 SHIPYARD BLVD",
"address_2": "PHYSICAL THERAPY",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036148",
"telephone_number": "910-341-2444",
"fax_number": "910-332-1519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "THERESA",
"middle_name": "KIERNAN",
"name_prefix": "Mrs.",
"credential": "OTR/CHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "NC",
"license": "6815",
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "FL",
"license": "3109",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LICENSE",
"identifier": "6815",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LICE",
"identifier": "3109",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.