Lacy Rose Miles, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

216015 Issued in TX

Practice address

415 S 1St St Ste 300a
Lufkin, TX 75901-3863

Phone

(936) 225-1174

NPI assigned

Nov 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1669018917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 PRICE ST",
            "city": "MARSHALL",
            "state": "TX",
            "postal_code": "756703523",
            "telephone_number": "903-742-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S 1ST ST STE 300A",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759013863",
            "telephone_number": "936-225-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "LACY",
        "middle_name": "ROSE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "216015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lacyrmiles_2011@yahoo.com",
            "affiliation": "N",
            "address_1": "204 Price St",
            "city": "Marshall",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756703523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mhi Clinical Services
• Michael Hunt Huber MD PA
• Michael L. Arnold, M.D., P.a.
• Hilda Chikaodi Michael, MD, MPH, MBA
• Eileen Barris Mickelson, MA,SLP-CCC
• Angela Ann Miller, RPH
• Becky Hollowell Miller
• Kaley Miller
• Jayson Bagaforo Minguez, PT
• Majal Buenaflor Minguez, PT

• Occupational Therapy Assistant in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.