Renee Dawn Miller, OTR

Individual provider Active NPI Occupational Therapist · Lenexa, KS

NPI 1811265689 · NPPES record last updated Mar 4, 2013

Key facts

NPI
1811265689
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
17-01896 (KS)
Practice address
8550 Marshall Dr
Ste 210
Lenexa, KS 66214-1505
Phone
(913) 492-0333
Fax
(913) 492-0334
NPI assigned
Dec 8, 2011
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
17-01896KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced PT McPherson LLC Past Accepting new patients
Advanced PT Pca, LLC Occupational Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17-01896 KS Yes

Addresses

Primary practice location

8550 Marshall Dr
Ste 210
Lenexa, KS 66214-1505

Mailing address

200 W Douglas Ave
Ste 1040
Wichita, KS 67202-3013
Phone (316) 263-0003

Other providers in Lenexa, KS

All providers in Lenexa, KS · Occupational Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.