Genelle Lynn Mills

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2836 Issued in AZ

Practice address

1460 N Pinal Ave
Casa Grande, AZ 85222-3337

Phone

(520) 836-2111

NPI assigned

Apr 11, 2007

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

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689898967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 E NIGHTINGALE LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852966846",
            "telephone_number": "480-620-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N PINAL AVE",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852223337",
            "telephone_number": "520-836-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "GENELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "2836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory J Mikszta, DDS
• Hedwick Ngaira Miles, PMHNP
• Megan Ann Miller, M.A.
• Nadezhda Miller
• Robert Collis Miller III, LPC
• Nancy Minck, RN
• Mingus Mountain Estate Residencial Center, Inc.
• Mitchell and Crosby Dental PLLC
• Jeffrey Dean Mitchell, D.D.S.
• Linda C. Mitchell, RN MSN FNP-C

• Pediatric Occupational Therapist in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Pediatric Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.