Advanced Myotherapy

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ADVANCED MYOTHERAPY

Practice address

279 Liberty St
Ashland, OR 97520-2901

Phone

(541) 482-0413

NPI assigned

Oct 23, 2019

Last updated

Oct 23, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Micketti, LMTNPI 1801437157

Title

President

Phone

(541) 482-0413

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Micketti, LMT

  • Massage Therapist
  • Ashland, OR
  • NPI 1801437157
  NPD Authorized official

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1366085250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 SISKIYOU BLVD # 53",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202336",
            "telephone_number": "541-482-0413",
            "fax_number": "541-482-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 LIBERTY ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202901",
            "telephone_number": "541-482-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MYOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "MICKETTI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-482-0413",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.