CARLY MILLER
NPI 1679246458
Occupational Therapist in Maynardville, TN

Active since July 28, 2021
3925 MAYNARDVILLE HWY STE 1, MAYNARDVILLE, TN 37807(865) 333-4673 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 18, 2025, Jul 28, 2021 (2 updates tracked since 2021).

About Carly Miller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY MILLER (NPI 1679246458) is an individual occupational therapist in Maynardville, Tennessee, licensed in Tennessee (6877) and active in the NPI registry since July 2021. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1679246458
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameCARLY MILLER
Location Address3925 MAYNARDVILLE HWY STE 1Maynardville, TN 37807-3552
Mailing Address3925 Maynardville Hwy Ste 1Maynardville, TN 37807-3552 · (865) 333-4673
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 28, 2021
Last NPPES UpdateMarch 18, 20252 updates tracked since enumeration
NPPES CertifiedMarch 18, 2025
✔ NPI 1679246458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in TN · 6877
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
3925 MAYNARDVILLE HWY STE 1, Maynardville, TN 37807

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Miller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294208187
PECOS Enrollment IDI20260623000982

Medicare Billing Reassignment

Medicare enrollment records show Carly Miller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Speech-Language Pathologist
3925 MAYNARDVILLE HWY STE 1
Maynardville, TN 37807
  • Reassigned Medicare billing, Tennessee enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
3925 MAYNARDVILLE HWY STE 1
MAYNARDVILLE, TN 37807
Speech-Language Pathologist
3925 MAYNARDVILLE HWY STE 1
MAYNARDVILLE, TN 37807
Speech-Language Pathologist
3925 MAYNARDVILLE HWY STE 1
MAYNARDVILLE, TN 37807
Physical Therapist
3925 MAYNARDVILLE HWY STE 1
MAYNARDVILLE, TN 37807
Speech-Language Pathologist
3925 MAYNARDVILLE HWY STE 1
MAYNARDVILLE, TN 37807
Physical Therapist
3925 MAYNARDVILLE HWY STE 1
MAYNARDVILLE, TN 37807
Speech-Language Pathologist
3925 MAYNARDVILLE HWY STE 1
MAYNARDVILLE, TN 37807
Speech-Language Pathologist
3925 MAYNARDVILLE HWY STE 1
MAYNARDVILLE, TN 37807

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Miller's NPI number?

The NPI number for Carly Miller is 1679246458. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Carly Miller located?

Carly Miller practices at 3925 Maynardville Hwy Ste 1, Maynardville, TN 37807. The listed phone number is (865) 333-4673.

What is Carly Miller's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Carly Miller enrolled in Medicare?

Yes. Carly Miller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Miller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Miller reassigns Medicare benefits to Mission Hope Pediatric Therapy LLC (Maynardville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Miller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carly Miller accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Carly Miller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carly Miller was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.