Active NPI
Jennifer Breaux Miller
- Physical Rehabilitation Occupational Therapist
- New Orleans, LA
National Provider Identifier
1912209784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- OTTZ10956
- Practice address
- 1717 St Charles Ave
Center for Restorative Breast Surgery, LLC
New Orleans, LA 70130 - Phone
- (504) 899-2800
- Fax
- (504) 899-2700
- NPI assigned
- Nov 29, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OTTZ10956 | LA | Primary |
Addresses
Primary practice location
1717 St Charles Ave
Center for Restorative Breast Surgery, LLC
New Orleans, LA 70130
Mailing address
1717 St Charles Ave
Center for Restorative Breast Surgery, LLC
New Orleans, LA 70130
Phone (504) 899-2800
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTTZ10956 | LA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290988800000",
"number": "1912209784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 ST CHARLES AVE",
"address_2": "CENTER FOR RESTORATIVE BREAST SURGERY, LLC",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70130",
"telephone_number": "504-899-2800",
"fax_number": "504-899-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 ST CHARLES AVE",
"address_2": "CENTER FOR RESTORATIVE BREAST SURGERY, LLC",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70130",
"telephone_number": "504-899-2800",
"fax_number": "504-899-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JENNIFER",
"middle_name": "BREAUX",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-29",
"last_updated": "2010-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "LA",
"license": "OTTZ10956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.