Active NPI
Tiffany Miller, L.M.T.
- Massage Therapist
- Clarksburg, WV
National Provider Identifier
1023344561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 2008-2501
- Practice address
- 482 Emily Dr
Clarksburg, WV 26301-5514 - Phone
- (304) 326-2204
- NPI assigned
- Oct 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 2008-2501 | WV | Primary |
Addresses
Primary practice location
482 Emily Dr
Clarksburg, WV 26301-5514
Mailing address
RR 4 Box 301B
Grafton, WV 26354-9350
Phone (304) 625-1992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008-2501 | WV | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255824000000",
"number": "1023344561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 4 BOX 301B",
"city": "GRAFTON",
"state": "WV",
"postal_code": "263549350",
"telephone_number": "304-625-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "482 EMILY DR",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263015514",
"telephone_number": "304-326-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "TIFFANY",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-18",
"last_updated": "2009-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WV",
"license": "2008-2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.