Individual provider Active NPI

Katie Anne Miller, OTR/L

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1811454390
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2698 Issued in NV
Practice address
9050 W Cheyenne Ave Ste 210
Las Vegas, NV 89129-8932
Phone
(702) 209-0069
Fax
(702) 750-1372
NPI assigned
Feb 21, 2019
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Occupational Therapist 225X00000X 2698 NV Primary

Addresses

Primary practice location

9050 W Cheyenne Ave Ste 210
Las Vegas, NV 89129-8932

Mailing address

2390 Portland St Apt 210
Los Angeles, CA 90007-1937
Phone (740) 336-5905

Other practice location 1

2650 E Foothill Blvd
Pasadena, CA 91107-3439
Phone (626) 577-2261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210407002856 NV Practitioner - Occupational Therapist in Private Practice 9335556489

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
58.17 of 100Reported as group
Quality
37.51
Improvement activities
40
Cost
75.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2698NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy West LLC PastSince Mar 23, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1811454390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 PORTLAND ST APT 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900071937",
            "telephone_number": "740-336-5905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 W CHEYENNE AVE STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298932",
            "telephone_number": "702-209-0069",
            "fax_number": "702-750-1372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 E Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911073439",
            "country_code": "US",
            "telephone_number": "626-577-2261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATIE",
        "middle_name": "ANNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "2698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.