Heather Miller, LMT, BCTMB

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18KT00982700 Issued in NJ

Practice address

1324 Forest Ave Ste 212
Staten Island, NY 10302-2044

Phone

(877) 480-8038

NPI assigned

Nov 18, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountainside Diversified

  • Massage Therapist
  • Staten Island, NY
  • NPI 1689251712
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1033828967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20521",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103020521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 FOREST AVE STE 212",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022044",
            "telephone_number": "877-480-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "HEATHER",
        "name_prefix": "Ms.",
        "credential": "LMT, BCTMB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT00982700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "http://njmassages.com/soap",
            "affiliation": "N",
            "endpointDescription": "SOAP notes form",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Form",
            "address_1": "1324 Forest Ave Ste 212",
            "city": "Staten Island",
            "state": "NY",
            "country_code": "US",
            "postal_code": "103022044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Christine Miller
• Chaya B Miller, M.S. SLP
• Danielle Miller
• Deborah Miller
• Floyd Miller
• Jennifer Lee Miller, MSN, FNP-C
• Kendra Miller
• Marissa Miller
• Nicole Staci Miller, M.S. CCC SLP
• Rachel Miller

• Massage Therapist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Massage Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.