Individual provider Active NPI

Laura Lynn Miller, OTR/L

  • Occupational Therapist
  • Monroe, MI
National Provider Identifier
1659852697
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201002723 Issued in MI
Practice address
1971 N Monroe St
Monroe, MI 48162-4255
Phone
(734) 243-8800
NPI assigned
Aug 28, 2018
Last updated
Aug 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201002723 MI Primary

Addresses

Primary practice location

1971 N Monroe St
Monroe, MI 48162-4255

Mailing address

24777 Foxmoor Blvd
Woodhaven, MI 48183-3792
Phone (734) 564-3154

Other identifiers 1

IdentifierTypeStateIssuer
1679715825OtherMIHOME HEALTH LLC

Other names 1

  • Laura Lynn Miller Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240406000245 MI Practitioner - Occupational Therapist in Private Practice 9537217666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tmi East IncGroup PAC ID 3274864665, 62 clinicians

Practice addresses (Care Compare)

16351 Rotunda Dr
Dearborn, MI 48120-1170
Phone (810) 701-4633

851 Penniman Ave
Plymouth, MI 48170-1621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tmi East, Inc. CurrentSince Mar 27, 2024 Accepting new patients
Livewell Home Health Care, LLC Current Accepting new patients

Locations

851 Penniman Ave
Plymouth, MI 48170
Phone (248) 349-9595

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1659852697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24777 FOXMOOR BLVD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833792",
            "telephone_number": "734-564-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481624255",
            "telephone_number": "734-243-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201002723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH LLC",
            "identifier": "1679715825",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MILLER",
            "middle_name": "LYNN",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.

Verify at the official NPI Registry.