Richard Kenneth Miller

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

9484 Issued in OR

Practice address

488 E 11TH Ave
Eugene, OR 97401-3601

Phone

(541) 505-8180

Fax

(541) 505-7134

NPI assigned

Jan 29, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Staszak Physical Therapy

  • Physical Therapist
  • Eugene, OR
  • NPI 1770884652

  Single Specialty

  NPD

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1205698768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S 45TH ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974787538",
            "telephone_number": "442-274-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E 11TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013601",
            "telephone_number": "541-505-8180",
            "fax_number": "541-505-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "RICHARD",
        "middle_name": "KENNETH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "9484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Jay Miller, LCSW
• Melissa Miller
• Michael Miller
• Nicole E Miller, MA
• Rachel Miller, LCSW
• Shadi I Miller, MD
• Shelby Nichole Miller, BSN, RN
• Sonia Maria Miller, CSWA
• Susan Jean Miller, LMT
• Tawnya R Miller, TYPE 1 PROVIDER

• Massage Therapist in Eugene, OR
• Providers in Eugene, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.