Lisa Miller, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61121638 Issued in WA

Practice address

9040 Jackson Aveneue
Tacoma, WA 98431-9604

Phone

(253) 968-2252

NPI assigned

Aug 16, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Peaceful Center Occupational Therapy, LLC.

  • Occupational Therapist
  • Palmer, AK
  • NPI 1598231649
  NPD

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1821716978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 CHRIS TURNAROUND",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057617",
            "telephone_number": "253-508-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 JACKSON AVENEUE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984319604",
            "telephone_number": "253-968-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LISA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61121638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "JANE",
            "affiliation": "N",
            "address_1": "2020 N Hemmer Rd",
            "city": "Palmer",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996459604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua Grant Miller, PHARMD
• Julia Lin Miller, N.D.
• Kami Miller
• Kristin S Miller, PT
• Lalaina Miller
• Lydia Irene Miller, ARNP
• Martha Jane Miller
• Matthew Christopher Miller
• McKayla Loren Miller
• Megan Rochelle Miller, D.D.S

• Occupational Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.