Individual provider Active NPI

Stephanie Miller N Miller

  • Occupational Therapy Assistant
  • Coral Springs, FL
National Provider Identifier
1619436151
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA15346 Issued in FL
Practice address
1750 N University Dr Ste 105
Coral Springs, FL 33071-6075
Phone
(954) 356-2878
NPI assigned
Mar 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA15346 FL Primary

Addresses

Primary practice location

1750 N University Dr Ste 105
Coral Springs, FL 33071-6075

Mailing address

8100 SW 22ND St Apt A109
North Lauderdale, FL 33068-5029
Phone (054) 544-7822

Other identifiers 1

IdentifierTypeStateIssuer
OTA15436OtherFLBOARD OF OCCUPATIONAL THERAPY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL google

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTA15346FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1619436151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 SW 22ND ST APT A109",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330685029",
            "telephone_number": "054-544-7822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N UNIVERSITY DR STE 105",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330716075",
            "telephone_number": "954-356-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "STEPHANIE MILLER",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA15346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "OTA15436",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "google",
            "affiliation": "N",
            "address_1": "1750 N University Dr Ste 105",
            "city": "Coral Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330716075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.