Individual provider Active NPI

Jennifer Miller, OTR

  • Occupational Therapist
  • Wesley Chapel, FL
National Provider Identifier
1659935864
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
19235 Issued in FL
Practice address
27553 Cashford Cir # 101
Wesley Chapel, FL 33544-6911
Phone
(813) 631-9770
Fax
(813) 631-9770
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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 19235 FL Primary

Addresses

Primary practice location

27553 Cashford Cir # 101
Wesley Chapel, FL 33544-6911

Mailing address

27553 Cashford Cir # 101
Wesley Chapel, FL 33544-6911

Other names 1

  • Jennifer Diane Miller Flores Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@gingerfitness.com Direct

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

LicenseStateTypeSpecialty
19235FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1659935864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27553 CASHFORD CIR # 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27553 CASHFORD CIR # 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446911",
            "telephone_number": "813-631-9770",
            "fax_number": "813-631-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "19235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@gingerfitness.com",
            "affiliation": "N",
            "endpointDescription": "Ginger Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf",
            "address_1": "27553 Cashford Cir # 101",
            "city": "Wesley Chapel",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335446911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MILLER FLORES",
            "middle_name": "DIANE",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.