Holly Marie Miller, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

02988 Issued in OH

Practice address

804 S Mumaugh Rd
Lima, OH 45804-3569

Phone

(419) 225-9040

Fax

(419) 225-9292

NPI assigned

Dec 17, 2010

Last updated

Dec 17, 2010By the provider in NPPES

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": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292544000000",
    "number": "1790088458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 S MUMAUGH RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458043569",
            "telephone_number": "419-225-9040",
            "fax_number": "419-225-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 S MUMAUGH RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458043569",
            "telephone_number": "419-225-9040",
            "fax_number": "419-225-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "02988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryana Miller, LPC
• Carrie Miller
• Emily Miller, CDCA
• Eric C Miller, DPM
• Eric E Miller, PAC
• Jeffrey Alan Miller, MD
• Jennifer Renee Miller
• John A Miller, PH.D.
• Julie Ann Miller
• Kyle Matthew Miller, PHARMD, RPH

• Occupational Therapy Assistant in Lima, OH
• Providers in Lima, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.