Active NPI
Ruth E Milliman, OTR
- Occupational Therapist
- Tucson, AZ
National Provider Identifier
1619199585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4566
- Practice address
- 6367 E Tanque Verde Rd Ste 150
Tucson, AZ 85715-3915 - Phone
- (520) 296-2900
- Fax
- (520) 296-3800
- NPI assigned
- May 2, 2007
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 4566 | AZ | Primary |
Addresses
Primary practice location
6367 E Tanque Verde Rd Ste 150
Tucson, AZ 85715-3915
Mailing address
282 N Suntan Dr
Vail, AZ 85641-9444
Phone (520) 762-5270
Other practice location 1
282 N Suntan Dr
Vail, AZ 85641-9444
Phone (520) 762-5270
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4566 | Other | AZ | STATE OF AZ BOARD OF OT EXAMINERS |
| 5201002834 | Other | MI | STATE OF MICHIGAN DEPARTMENT OF COMMUNITY HEALTH BOARD OF OCCUPATIONAL THERAPIST |
| AA607325 | Other | AZ | NBCOT |
Other names 1
- Ruth E Van Otteren
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4566 | AZ | MD | Occupational Therapist |
Interoperability endpoints
- ruth.milliman.p6@direct.athleticoltd.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1619199585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 N SUNTAN DR",
"city": "VAIL",
"state": "AZ",
"postal_code": "856419444",
"telephone_number": "520-762-5270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6367 E TANQUE VERDE RD STE 150",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857153915",
"telephone_number": "520-296-2900",
"fax_number": "520-296-3800"
}
],
"practiceLocations": [
{
"address_1": "282 N Suntan Dr",
"address_purpose": "LOCATION",
"city": "Vail",
"state": "AZ",
"postal_code": "856419444",
"country_code": "US",
"telephone_number": "520-762-5270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLIMAN",
"first_name": "RUTH",
"middle_name": "E",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "4566",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF AZ BOARD OF OT EXAMINERS",
"identifier": "4566",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN DEPARTMENT OF COMMUNITY HEALTH BOARD OF OCCUPATIONAL THERAPIST",
"identifier": "5201002834",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT",
"identifier": "AA607325",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RUTH",
"last_name": "VAN OTTEREN",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.