Active NPI
Stephanie Miller N Miller
- Occupational Therapy Assistant
- Coral Springs, FL
National Provider Identifier
1619436151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA15346
- 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
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 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTA15436 | Other | FL | BOARD OF OCCUPATIONAL THERAPY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA15346 | FL | MD | Occupational 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.