Individual provider Active NPI

Carrie Miggins, COTA

  • Occupational Therapy Assistant
  • Tucson, AZ
National Provider Identifier
1700204435
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
4921 Issued in AZ
Practice address
1580 E River Rd
Tucson, AZ 85718-7629
Phone
(520) 207-2191
NPI assigned
Mar 31, 2014
Last updated
Mar 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 4921 AZ Primary

Addresses

Primary practice location

1580 E River Rd
Tucson, AZ 85718-7629

Mailing address

600 N Pantano Rd
#725
Tucson, AZ 85710-2370
Phone (520) 360-6856

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4921AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Eldercare Rehabilitation Services, LLC Past Accepting new patients
Powerback Rehabilitation LLC Past Accepting new patients

Organizations & group practices 2

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1700204435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N PANTANO RD",
            "address_2": "#725",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102370",
            "telephone_number": "520-360-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857187629",
            "telephone_number": "520-207-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGGINS",
        "first_name": "CARRIE",
        "name_prefix": "Miss",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "4921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.