Active NPI
Thomas A. Miles, CMT
- Massage Therapist
- Quincy, CA
National Provider Identifier
1407554926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 83084
- Practice address
- 37776 Old Highway Rd
Quincy, CA 95971-9102 - Phone
- (530) 228-2283
- NPI assigned
- Feb 23, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 83084 | CA | Primary |
Addresses
Primary practice location
37776 Old Highway Rd
Quincy, CA 95971-9102
Mailing address
PO Box 288
Quincy, CA 95971-0288
Phone (530) 228-2283
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83084 | Other | CA | CALIFORNIA MASSAGE THERAPY COUNCIL |
Other names 1
- Tommy Miles
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 |
|---|---|---|---|
| 83084 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1407554926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 288",
"city": "QUINCY",
"state": "CA",
"postal_code": "959710288",
"telephone_number": "530-228-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37776 OLD HIGHWAY RD",
"city": "QUINCY",
"state": "CA",
"postal_code": "959719102",
"telephone_number": "530-228-2283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "THOMAS",
"middle_name": "A.",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-23",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "83084",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MASSAGE THERAPY COUNCIL",
"identifier": "83084",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TOMMY",
"last_name": "MILES",
"credential": "CMT",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Quincy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.