Individual provider Active NPI

Lori A. Miller, OTR/L

  • Occupational Therapist
  • Wasilla, AK
National Provider Identifier
1962745422
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2308 Issued in AK
Practice address
3725 E Wickersham Way
Wasilla, AK 99654-7557
Phone
(734) 776-2143
NPI assigned
Apr 3, 2013
Last updated
Apr 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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 2308 AK Primary

Addresses

Primary practice location

3725 E Wickersham Way
Wasilla, AK 99654-7557

Mailing address

3725 E Wickersham Way
Wasilla, AK 99654-7557
Phone (734) 776-2143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190211000816 AK Practitioner - Occupational Therapist in Private Practice 7113265521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alyeska Therapy Center, IncGroup PAC ID 0042109936, 11 clinicians

Practice addresses (Care Compare)

401 E Bogard Rd
Wasilla, AK 99654-7108
Phone (907) 357-2578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2308AKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alyeska Therapy Center, Inc. CurrentSince Jan 1, 2019 Accepting new patients
Birch Tree Pediatric Therapy, PLLC Occupational Therapist Current Accepting new patients
Denali Occupational Therapy, LLC Occupational Therapist Current Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1962745422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 E WICKERSHAM WAY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547557",
            "telephone_number": "734-776-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 E WICKERSHAM WAY",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547557",
            "telephone_number": "734-776-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LORI",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "2308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.

Verify at the official NPI Registry.