Mindful Occupational Therapy LLC

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

Legal business name

MINDFUL OCCUPATIONAL THERAPY LLC

Practice address

800 Madison Blvd
Bolingbrook, IL 60490-5031

Phone

(630) 296-4441

NPI assigned

Dec 4, 2023

Organization subpart

No

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

Authorized official

Name

Amanda Miller, OTNPI 1104229624

Title

Occupational Therapist

Phone

(630) 296-4441

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Kathleen Miller, OTR/L

  • Occupational Therapist
  • Oak Lawn, IL
  • NPI 1104229624
  NPD Authorized official

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1811763550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MADISON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MADISON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905031",
            "telephone_number": "630-296-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "630-296-4441",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Hyperbaric Institute, P.C.
• Midwest Rehabilitation & Wellness Center
• Midwest Wound Care Incorporated
• Shunta M Milam, AAS, BA, M.ED, MBA
• Vincent Miller
• Allison Mitch, DPT
• Donita Mitchell-Gage, CERTIFIED HAIR LOSS
• Tricia L Mitchell, DPT, MPT
• Roopali Mittal, DDS
• Stephen Mizera, PA-C

• Mental Health Occupational Therapist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Mental Health Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.