Individual provider Active NPI

Samantha Painter Usmiller, L.M.T.

  • Massage Therapist
  • Prescott, AZ
National Provider Identifier
1275964702
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-17713 Issued in AZ
Practice address
721 S Granite St Apt a
Prescott, AZ 86303-4289
Phone
(815) 322-3450
NPI assigned
Dec 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-17713 AZ Primary

Addresses

Primary practice location

721 S Granite St Apt a
Prescott, AZ 86303-4289

Mailing address

721 S Granite St Apt a
Prescott, AZ 86303-4289
Phone (815) 322-3450

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

LicenseStateTypeSpecialty
MT-17713AZMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386633600000",
    "number": "1275964702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S GRANITE ST APT A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034289",
            "telephone_number": "815-322-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S GRANITE ST APT A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863034289",
            "telephone_number": "815-322-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USMILLER",
        "first_name": "SAMANTHA",
        "middle_name": "PAINTER",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-17713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.