Mary A Miller, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OA2557 Issued in ME

Practice address

12 Spruce St Ste 3
Augusta, ME 04330-5204

Phone

(207) 441-0019

NPI assigned

Jan 29, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gallant Therapy Services

  • Developmentally Disabled Services Day Training Agency
  • Augusta, ME
  • NPI 1124253760
  NPD (past)

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1841538675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SPRUCE ST STE 3",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305204",
            "telephone_number": "207-441-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SPRUCE ST STE 3",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305204",
            "telephone_number": "207-441-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MARY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ME",
            "license": "OA2557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Michelsen, PT
• Jennifer Lynn Miedema, DMD
• Christina Lee Miller, DMS, PA-C
• Lisa J Miller, RN
• Martin Peter Miller, R.D., C.D.E.
• Nina C Miller, NP
• Krysten Amanda Millett, NP
• Brian P Mills, MD
• Hillary Mishcon
• Carol Mitchell Cusick, LCPC

• Occupational Therapy Assistant in Augusta, ME
• Providers in Augusta, ME by specialty
• Occupational Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.