Midline LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

ST. DOES NOT LICENSE Issued in CA

Legal business name

MIDLINE LLC

Practice address

555 Soquel Ave Ste 350
Santa Cruz, CA 95062-2320

Phone

(831) 421-9222

Fax

(831) 421-9229

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Brian K Johnson, CMT, ROLFER

Title

Managing Member

Phone

(831) 421-9222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1376859678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SOQUEL AVE STE 350",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622320",
            "telephone_number": "831-421-9222",
            "fax_number": "831-421-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SOQUEL AVE STE 350",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622320",
            "telephone_number": "831-421-9222",
            "fax_number": "831-421-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "831-421-9222",
        "authorized_official_credential": "CMT, ROLFER"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "ST. DOES NOT LICENSE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Scott, Licensed Marriage and Family Therapist, Inc.
• Gail Fay Michaelis-Ow, NP
• Joyce Alice Michaelson, M.S.W, LCSW
• Pierre Sebastien Michel
• Nanette M Mickiewicz, MD
• Elizabeth Anne Mier, RN
• Laurie Migliore, M.A.
• Milan C. Patel, M.D., Inc.
• Catherine Milazzo, IBCLC
• Stephanie Milburn, PHARM D

• Massage Therapist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.