Individual provider Active NPI

Megan Miller

  • Pediatric Occupational Therapist
  • Liberty TWP, OH
National Provider Identifier
1770120768
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT009875 Issued in OH
Practice address
6475 Lesourdsville Rd
Liberty TWP, OH 45011-8455
Phone
(513) 644-1150
NPI assigned
Dec 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT009875 OH Primary

Addresses

Primary practice location

6475 Lesourdsville Rd
Liberty TWP, OH 45011-8455

Mailing address

9898 Summit Point Dr Apt 605
Miamisburg, OH 45342-4993

Other practice location 1

3325 Burbank Ave
Middletown, OH 45044-7018
Phone (513) 420-4549

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address megan.miller@lakotaonline.com Direct Lakota Local School District

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
OT009875OHMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Polka Dot Kids Current Accepting new patients
Children'S Hospital Medical Center Pediatrics PastSince Dec 15, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1770120768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9898 SUMMIT POINT DR APT 605",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453424993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 LESOURDSVILLE RD",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450118455",
            "telephone_number": "513-644-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3325 Burbank Ave",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450447018",
            "country_code": "US",
            "telephone_number": "513-420-4549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OH",
            "license": "OT009875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "megan.miller@lakotaonline.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Lakota Local School District",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "all information",
            "address_1": "6475 Lesourdsville Rd",
            "city": "Liberty Twp",
            "state": "OH",
            "country_code": "US",
            "postal_code": "450118455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Liberty TWP, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.