Active NPI
Erik Samuel Miilu, M.A. OT/L
- Occupational Therapist
- Plantation, FL
National Provider Identifier
1821315672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12114
- Practice address
- 8201 W Broward Blvd
Plantation, FL 33324-2701 - Phone
- (954) 473-6600
- NPI assigned
- May 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12114 | FL | Primary |
Addresses
Primary practice location
8201 W Broward Blvd
Plantation, FL 33324-2701
Mailing address
8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (954) 473-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12114 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460332800000",
"number": "1821315672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242701",
"telephone_number": "954-473-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 W BROWARD BLVD",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242701",
"telephone_number": "954-473-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIILU",
"first_name": "ERIK",
"middle_name": "SAMUEL",
"credential": "M.A. OT/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-03",
"last_updated": "2016-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "12114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.