Active NPI
Katie L Miles, LMT
- Massage Therapist
- Albany, OR
National Provider Identifier
1457600900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18304
- Practice address
- 821 Elm St SW
Albany, OR 97321 - Phone
- (541) 928-5590
- Fax
- (541) 924-9943
- NPI assigned
- Aug 30, 2012
- Last updated
- Aug 30, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 18304 | OR | Primary |
Addresses
Primary practice location
821 Elm St SW
Albany, OR 97321
Mailing address
821 Elm St SW
Albany, OR 97321
Phone (541) 928-5590
Other names 1
- Miss Katie L 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 |
|---|---|---|---|
| 18304 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grice Investments Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1457600900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 ELM ST SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "97321",
"telephone_number": "541-928-5590",
"fax_number": "541-924-9943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 ELM ST SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "97321",
"telephone_number": "541-928-5590",
"fax_number": "541-924-9943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "KATIE",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "18304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "MILES",
"middle_name": "L",
"prefix": "MISS",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.