Katelyn Paige Miles, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

6635 Issued in SC

Practice address

1051 Johnnie Dodds Blvd Ste G
Mount Pleasant, SC 29464-3100

Phone

(843) 654-9694

NPI assigned

Sep 14, 2022

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

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": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1760104020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 RIVER HAVEN CIR APT K",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124119",
            "telephone_number": "814-853-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 JOHNNIE DODDS BLVD STE G",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643100",
            "telephone_number": "843-654-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "KATELYN",
        "middle_name": "PAIGE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "6635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Dufort Michel, DMD
• Becky Miggenburg, DPT
• Emily Signe Mika Nemeth, M.D.
• Michael Mikola, MD
• Jennifer Lee Mikoll, PA-C
• Milestones Pediatric Therapy LLC
• Apsley Allen Milford, DPT
• Alexa Milici
• Amy Miller, RN
• Bjorn P Miller, M.D.

• Pediatric Occupational Therapist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.