Active NPI
Ashley Lysle Miller, MS, OTR/L
- Physical Medicine & Rehabilitation Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 31006574A
- Practice address
- 7125 Stadium Dr
Kalamazoo, MI 49009-4943 - Phone
- (269) 492-6575
- Fax
- (269) 492-6577
- NPI assigned
- May 7, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 31006574A | IN | Primary |
| Occupational Therapist | 225X00000X | 5201010160 | MI |
Addresses
Primary practice location
7125 Stadium Dr
Kalamazoo, MI 49009-4943
Mailing address
235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone (616) 840-8000
Other practice location 1
1007 Lincolnway
LA Porte, IN 46350-3290
Phone (219) 326-1234 ext. 3360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
235 Wealthy St SE
100 Mary Free Bed Med GP
Grand Rapids, MI 49503-5229
Phone (616) 242-0422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31006574A | IN | MD | Physical Medicine & Rehabilitation Physician |
| 5201010160 | MI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Free Bed Rehabilitation Hospital | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Mary Free Bed Rehabilitation Hospital | Current | Accepting new patients |
Locations
235 Wealthy St SE
Ste 100
Grand Rapids, MI 49503
Phone (616) 493-9724
235 Wealthy St SE
Grand Rapids, MI 49503
Phone (616) 242-0422
7125 Stadium Dr
Kalamazoo, MI 49009
Phone (269) 492-6575
Organizations & group practices 2
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.
-
- Rehabilitation Hospital
- Grand Rapids, MI
- NPI 1730133463
-
dba Mary Free Bed Medical Group
- Physical Medicine & Rehabilitation Physician
- Grand Rapids, MI
- NPI 1053641589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1922663863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 WEALTHY ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495035247",
"telephone_number": "616-840-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7125 STADIUM DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490094943",
"telephone_number": "269-492-6575",
"fax_number": "269-492-6577"
}
],
"practiceLocations": [
{
"address_1": "1007 Lincolnway",
"address_purpose": "LOCATION",
"city": "LA Porte",
"state": "IN",
"postal_code": "463503290",
"country_code": "US",
"telephone_number": "219-326-1234 x3360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "ASHLEY",
"middle_name": "LYSLE",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-07",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IN",
"license": "31006574A",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201010160",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.