Active NPI
Aimee K Michel
- Massage Therapist
- Medford, OR
National Provider Identifier
1396220133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 24563
- Practice address
- 3550 National Dr.
Medford, OR 97504 - Phone
- (541) 324-4179
- NPI assigned
- Sep 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 24563 | OR | Primary |
Addresses
Primary practice location
3550 National Dr.
Medford, OR 97504
Mailing address
1422 Weeping Willow CT
Grants Pass, OR 97527-5185
Phone (510) 306-8788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386137248 | Medicaid | OR |
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 |
|---|---|---|---|
| 24563 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1396220133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 WEEPING WILLOW CT",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275185",
"telephone_number": "510-306-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 NATIONAL DR.",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-324-4179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHEL",
"first_name": "AIMEE",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-27",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "24563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386137248",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.