Carly Miller

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

6877 Issued in TN

Practice address

3925 Maynardville Hwy Ste 1
Maynardville, TN 37807-3552

Phone

(865) 333-4673

NPI assigned

Jul 28, 2021

Last updated

Mar 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mission Hope Pediatric Therapy LLC

  • Speech-Language Pathologist
  • Maynardville, TN
  • NPI 1013553304

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1679246458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 MAYNARDVILLE HWY STE 1",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073552",
            "telephone_number": "865-333-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 MAYNARDVILLE HWY STE 1",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073552",
            "telephone_number": "865-333-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "6877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Jean McClure, CERT MAST SOC WORKER
• Erin McConocha, MPH
• Laurice A McCord, PNP-BC
• Ian Carter McCormick, PHARMD
• Paula Renee Miksa, PA-C
• Cynthia Donehew Milligan, RN
• Robert Matthew Mindrup, PSYD
• Mission Hope Pediatric Therapy LLC
• Mohammad Bhidya MD PC (quality medical center)
• Hal Martin Moncier, MD

• Occupational Therapist in Maynardville, TN
• Providers in Maynardville, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.