Active NPI
Patricia E Macmillan, RMT
- Massage Therapist
- Missoula, MT
National Provider Identifier
1144647462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1919
- Practice address
- 329 S 2ND St W
Missoula, MT 59801-1839 - Phone
- (406) 542-9177
- NPI assigned
- Mar 25, 2014
- Last updated
- Mar 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 1919 | MT | Primary |
Addresses
Primary practice location
329 S 2ND St W
Missoula, MT 59801-1839
Mailing address
329 S 2ND St W
Missoula, MT 59801-1839
Phone (406) 542-9177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 616580000 | Other | MT | FEDERAL WORKMANS COMPENSATION PROVIDER |
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 |
|---|---|---|---|
| 1919 | MT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1144647462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 S 2ND ST W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598011839",
"telephone_number": "406-542-9177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 S 2ND ST W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598011839",
"telephone_number": "406-542-9177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACMILLAN",
"first_name": "PATRICIA",
"middle_name": "E",
"name_prefix": "Prof.",
"credential": "RMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-25",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "1919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL WORKMANS COMPENSATION PROVIDER",
"identifier": "616580000",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.