Active NPI
Ajayi Miller, L.M.T
- Massage Therapist
- Tampa, FL
National Provider Identifier
1215296090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 68053
- Practice address
- 1435 W Busch Blvd
Ste 201 a
Tampa, FL 33612-7621 - Phone
- (813) 473-2744
- Fax
- (813) 434-1624
- NPI assigned
- May 14, 2012
- Last updated
- Jul 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | 15904 | FL | |
| Homemaker | 376J00000X | 15904 | FL | |
| Massage Therapist | 225700000X | MA 68053 | FL | Primary |
Addresses
Primary practice location
1435 W Busch Blvd
Ste 201 a
Tampa, FL 33612-7621
Mailing address
1435 W Busch Blvd
Ste 201 a
Tampa, FL 33612-7621
Phone (813) 473-2744
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006109200 | Medicaid | FL |
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 |
|---|---|---|---|
| MA 68053 | FL | MD | Massage Therapist |
| 15904 | FL | MD | Homemaker |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372636800000",
"number": "1215296090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 W BUSCH BLVD",
"address_2": "STE 201 A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127621",
"telephone_number": "813-473-2744",
"fax_number": "813-434-1624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 W BUSCH BLVD",
"address_2": "STE 201 A",
"city": "TAMPA",
"state": "FL",
"postal_code": "336127621",
"telephone_number": "813-473-2744",
"fax_number": "813-434-1624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "AJAYI",
"credential": "L.M.T",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-14",
"last_updated": "2013-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "FL",
"license": "15904",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": "15904",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA 68053",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006109200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
- Miller Chiropractic and Medical Centers Inc (Premier Miller Orthopedic and Medical Center)
- Miller Orthodontics, PLLC
- Elizabeth Connie Miller-Boostani
- Colleen Miller-Owen, APN
- Adam Miller, PH.D.
- Alexis Miller
- Allen David Miller, M.D., M.B.A
- Anne Marie Miller, PHARMD
- Ariel Jacob Miller, M.D.
- Bari Miller, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.