Lydia Anne Miller

Primary specialty

Recreation TherapistTaxonomy code 225800000X

Practice address

1400 D Airport Office Park
Fort Wayne, IN 46825

Phone

(260) 702-9141

NPI assigned

Dec 15, 2025

Last updated

Dec 15, 2025By the provider in NPPES

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

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1790649572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 PIMLICO DR UNIT 204",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468452097",
            "telephone_number": "567-303-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 D AIRPORT OFFICE PARK",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46825",
            "telephone_number": "260-702-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LYDIA",
        "middle_name": "ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Miller
• Laityn Miller
• Lauralye Miller
• Lee Ann Miller, DNP-ACNP-BC
• Luke R Miller, M.D.
• Lynn Marie Miller, ATC
• Marissa Miller, NP
• Mark Miller
• Michelle Renne Miller, PH.D.
• Nathan Paul Miller, DPT

• Recreation Therapist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Recreation Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.