NPIMap

Organization Active NPI

Miami Valley Mt LLC

Doing business as Miami Valley Massage Therapy

  • Clinic/Center
  • Englewood, OH
National Provider Identifier
1609409317
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MIAMI VALLEY MT LLC
Doing business as
Miami Valley Massage Therapy
Practice address
5 N Main St
Englewood, OH 45322-1326
Phone
(937) 890-8660
NPI assigned
Feb 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Richard Phillips, LMTNPI 1316571359
Title
LMT
Phone
(937) 890-8660

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5 N Main St
Englewood, OH 45322-1326

Mailing address

4998 Clayton Rd
Brookville, OH 45309-8314
Phone (937) 890-8660

Other names 1

  • Miami Valley Massage Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

5 N Main St
Englewood, OH 45322
Phone (937) 836-1141

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": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1609409317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4998 CLAYTON RD",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453098314",
            "telephone_number": "937-890-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 N MAIN ST",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453221326",
            "telephone_number": "937-890-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI VALLEY MT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "937-890-8660",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Valley Massage Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Englewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.