Individual provider Active NPI

Heather Miltenberger, MS OTR/L

  • Occupational Therapist
  • Perryville, MD
National Provider Identifier
1760868442
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
06339 Issued in MD
Practice address
307 Roundhouse Dr
Perryville, MD 21903-3040
Phone
(610) 442-5344
NPI assigned
Aug 5, 2015
Last updated
Aug 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 06339 MD Primary
Occupational Therapist 225X00000X OC011122 PA

Addresses

Primary practice location

307 Roundhouse Dr
Perryville, MD 21903-3040

Mailing address

307 Roundhouse Dr
Perryville, MD 21903-3040
Phone (610) 442-5344

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
06339MDMDOccupational Therapist
OC011122PAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1760868442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 ROUNDHOUSE DR",
            "city": "PERRYVILLE",
            "state": "MD",
            "postal_code": "219033040",
            "telephone_number": "610-442-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 ROUNDHOUSE DR",
            "city": "PERRYVILLE",
            "state": "MD",
            "postal_code": "219033040",
            "telephone_number": "610-442-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILTENBERGER",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06339",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC011122",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perryville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.