Individual provider Active NPI

Sheena K Miller, OTD

  • Occupational Therapist
  • Fargo, ND
National Provider Identifier
1679383996
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2143 Issued in ND
Practice address
4141 31St Ave S Ste 104
Fargo, ND 58104-8778
Phone
(701) 353-1488
Fax
(213) 867-2798
NPI assigned
Jan 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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 2143 ND Primary

Addresses

Primary practice location

4141 31St Ave S Ste 104
Fargo, ND 58104-8778

Mailing address

4141 31St Ave S Ste 104
Fargo, ND 58104-8778
Phone (701) 353-1488

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Edge Op LLC CurrentSince Aug 18, 2025 Accepting new patients
Legacy Primary Care PLLC PastSince Jul 7, 2024 Accepting new patients
Big Stone Therapies Montague LLC Past Accepting new patients

Locations

2801 39th Ave SE
Mandan, ND 58554
Phone (701) 663-5664

Organizations & group practices 3

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": "1736380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1679383996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 31ST AVE S STE 104",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048778",
            "telephone_number": "701-353-1488",
            "fax_number": "213-867-2798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 31ST AVE S STE 104",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048778",
            "telephone_number": "701-353-1488",
            "fax_number": "213-867-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SHEENA",
        "middle_name": "K",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "2143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.