KAIDEN DEAN MILLER (OTR/L) – Occupational Therapist, NPI 1184159667
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
400 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in TN
Provider Addresses for KAIDEN DEAN MILLER (OTR/L)
5104 NW SCHOLLS FERRY RD
APT E-001
PORTLAND, OR 97225
Phone:
Type: Mailing
113 Hedrick Dr
Newport, TN 378212930
Phone: (423) 438-1124
Fax: (423) 244-0279
Type: Location
900 W Main St
Rogersville, TN 378572448
Phone: (423) 500-5600
Fax: (423) 317-7773
Type: Location
410 N Broad St
New Tazewell, TN 378256606
Phone: (423) 381-8813
Fax: (423) 244-0279
Type: Location
1009 Hampshire Dr
Maryville, TN 378013525
Phone: (865) 518-6791
Fax: (865) 518-6794
Type: Location
263 E Broadway Blvd
Jefferson City, TN 377602810
Phone: (865) 375-0880
Fax: (423) 317-7773
Type: Location
2250 Broadway Dr Ste A1
Bean Station, TN 377082016
Phone: (865) 935-8111
Fax: (423) 822-5767
Type: Location
325 W Morris Blvd Ste B
Morristown, TN 378132237
Phone: (423) 317-7772
Fax: (423) 317-7773
Type: Location
George Fox University, 414, North Meridian Street, Newberg, Yamhill County, Oregon, 97132, United States
NEWBERG, OR 971322697
Phone: (714) 944-4420
Type: Location
325 W MORRIS BLVD STE B
MORRISTOWN, TN 378132237
Phone: (423) 317-7772
Fax: (423) 822-5514
Type: Mailing
2041 HAMILTON PL
JOHNSON CITY, TN 376047920
Phone: (423) 804-1020
Fax: (423) 317-7773
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2024-02-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240222003457 | I | Occupational Therapist In Private Practice | TN | TBD |
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.
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 97225)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NY | |
| Occupational Therapist In Private Practice | TN | |
| Occupational Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | TN | |
| - | TN | |
| Physical Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | TN | |
| - | TN | |
| Occupational Therapist In Private Practice | TN |
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