NPIMap

Organization Active NPI

Miles Massage Inc.

  • Occupational Therapist
  • Alexandria, VA
National Provider Identifier
1447540430
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
MILES MASSAGE INC.
Practice address
6058B Essex House SQ
Alexandria, VA 22310-4315
Phone
(703) 582-5115
Fax
(202) 450-2857
NPI assigned
Apr 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Andrew L. CarrNPI 1093005191
Title
Owner
Phone
(703) 582-5115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MT124 DC
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 0019002576 VA
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

6058B Essex House SQ
Alexandria, VA 22310-4315

Mailing address

6058B Essex House SQ
Alexandria, VA 22310-4315
Phone (703) 582-5115

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1447540430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6058B ESSEX HOUSE SQ",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223104315",
            "telephone_number": "703-582-5115",
            "fax_number": "202-450-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6058B ESSEX HOUSE SQ",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223104315",
            "telephone_number": "703-582-5115",
            "fax_number": "202-450-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES MASSAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-582-5115"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "DC",
            "license": "MT124",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "VA",
            "license": "0019002576",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.