Healthcare Provider Details

I. General information

NPI: 1619214269
Provider Name (Legal Business Name): SHEILA MILLER MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2013
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3410 GATEWAY CENTRE PKWY
PINELLAS PARK FL
33782-6193
US

IV. Provider business mailing address

3216 ABANA PATH
THE VILLAGES FL
32163-2369
US

V. Phone/Fax

Practice location:
  • Phone: 727-630-2002
  • Fax:
Mailing address:
  • Phone: 678-427-2331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0119007573
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT12480
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number126652
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number287336
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT23741
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: