Individual provider Active NPI

Laura M Milligan, OTR/L

  • Occupational Therapist
  • Gilbert, AZ
National Provider Identifier
1942787619
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-007543 Issued in AZ
Practice address
835 W Warner Rd Ste 101-623
Gilbert, AZ 85233-0905
Phone
(480) 416-4675
Fax
(480) 584-4638
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTH-007543 AZ Primary

Addresses

Primary practice location

835 W Warner Rd Ste 101-623
Gilbert, AZ 85233-0905

Mailing address

1405 S Newberry LN Apt a
Tempe, AZ 85281-5995
Phone (480) 250-8085

Other practice location 1

891 E Warner Rd Ste A-100
Gilbert, AZ 85296-2965
Phone (480) 416-4675

Other practice location 2

1405 S Newberry Ln Apt A
Tempe, AZ 85281-5995
Phone (480) 250-8085

Other names 1

  • Ms. Laura M Milligan Former name

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

LicenseStateTypeSpecialty
OTH-007543AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent by Design LLC CurrentSince Apr 20, 2021 Accepting new patients
Summit Physical Therapy Az LLC CurrentSince Jul 27, 2018 Accepting new patients

Locations

891 E Warner Rd
Ste A100
Gilbert, AZ 85296
Phone (480) 416-4675

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.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1942787619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 S NEWBERRY LN APT A",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815995",
            "telephone_number": "480-250-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 W WARNER RD STE 101-623",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852330905",
            "telephone_number": "480-416-4675",
            "fax_number": "480-584-4638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "891 E Warner Rd Ste A-100",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852962965",
            "country_code": "US",
            "telephone_number": "480-416-4675",
            "fax_number": "480-584-4638",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 S Newberry Ln Apt A",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852815995",
            "country_code": "US",
            "telephone_number": "480-250-8085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "LAURA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-007543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MILLIGAN",
            "middle_name": "M",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.