MAKENZIE MILLER – Occupational Therapist, NPI 1063257715

MAKENZIE MILLER is a healthcare provider. based in Bolingbrook, Illinois. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 056016061 (IL). The NPI Number for MAKENZIE MILLER is 1063257715

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MAKENZIE MILLER
NPI
1063257715
Phone
(866) 370-8206
Address
790 REMINGTON BLVD
Enumeration Date
26 June 2024
Last Update Date
26 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8155779936
Graduation Year
2023 (3 years ago)
PAC ID
1355886086
Group Practice PAC ID
4183692577
Professional Enrollment ID
I20240717002239
Address ID
IL604351455JO3082XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

973 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for MAKENZIE MILLER

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone: (866) 370-8206

    Type: Mailing

  • 3082 CATON FARM RD

    JOLIET, IL 604351455

    Phone: (815) 577-9936

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240717002239IOccupational Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60440)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183692577View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
-IL
-IL
-IL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for MAKENZIE MILLER in U.S. healthcare records?
The official identifier for MAKENZIE MILLER is NPI 1063257715.
Is MAKENZIE MILLER shown as active in public data?
Registry records indicate MAKENZIE MILLER maintains an active NPI.
What expertise is attributed to MAKENZIE MILLER?
MAKENZIE MILLER's specialty line reads Occupational Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with MAKENZIE MILLER?
Directory geography for MAKENZIE MILLER centers on Bolingbrook, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

ATI Physical Therapy

Physical Therapist
West Raymond Street, Indianapolis, Marion, Indiana, 46221, United States of America
NPI: 1316940505

ATI Physical Therapy

Physical Therapist
2001 BUTTERFIELD RD STE 1600
NPI: 1902808470

DANA SOPHIA D'EAGLE (OT)

Occupational Therapist
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
NPI: 1881687838

SUSAN L BOTICA (OTR/L,CHT)

Occupational Therapist
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
NPI: 1013900455

EILEEN SCANLON (OTR L CHT)

Occupational Therapist
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
NPI: 1184605107
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
NPI: 1174505713

COURTNEY GNAU GARBADE (OT)

Occupational Therapist
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
NPI: 1609850460
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
NPI: 1669457859

MRS. ANGELA MENARD (OTR/L)

Occupational Therapist
790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States
NPI: 1851376743