Michael Frederick Vermilyer, CMT, MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT21906828 Issued in IN

Practice address

4340 W 96TH St Ste 101
Indianapolis, IN 46268-2920

Phone

(317) 201-6978

NPI assigned

Aug 19, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1427660554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 SHAKER LN APT E",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460523167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 W 96TH ST STE 101",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682920",
            "telephone_number": "317-201-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMILYER",
        "first_name": "MICHAEL",
        "middle_name": "FREDERICK",
        "credential": "CMT, MMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT21906828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hamilton Vernon, DO
• Kailey Diann Vernon, PA-C
• Tyler Lee Vernon, DO
• Veronica Vernon, PHARMD

• Massage Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Massage Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.