Active NPI
Joe Rhodes Miracle, CRTT
- Certified Respiratory Therapist
- Jacksonville, FL
National Provider Identifier
1194805853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- TT 8185
- Practice address
- 3721 Sanjose Place
Suite Number 5
Jacksonville, FL 32257 - Phone
- (904) 880-6551
- Fax
- (904) 880-6552
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | TT 8185 | FL | Primary |
Addresses
Primary practice location
3721 Sanjose Place
Suite Number 5
Jacksonville, FL 32257
Mailing address
3687 Marsh Park CT
Jacksonville, FL 32250-2066
Phone (904) 807-9120
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 |
|---|---|---|---|
| TT 8185 | FL | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1194805853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3687 MARSH PARK CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322502066",
"telephone_number": "904-807-9120",
"fax_number": "904-807-9087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3721 SANJOSE PLACE",
"address_2": "SUITE NUMBER 5",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32257",
"telephone_number": "904-880-6551",
"fax_number": "904-880-6552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRACLE",
"first_name": "JOE",
"middle_name": "RHODES",
"name_prefix": "Mr.",
"credential": "CRTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "FL",
"license": "TT 8185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.