Miranda L Devine, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

12925233-4701 Issued in UT

Practice address

1710 E. 5600 S.
Ogden, UT 84403-4384

Phone

(801) 689-2546

NPI assigned

Aug 31, 2022

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elevated Performance and Rehabilitation

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Ogden, UT
  • NPI 1285313452
  NPD
• Positional Release Therapy Institute LLC

  • Physical Therapist
  • Ogden, UT
  • NPI 1346895935

  Massage Therapist

  NPD

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1699495556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 E. 5600 S.",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034384",
            "telephone_number": "801-689-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 E. 5600 S.",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844034384",
            "telephone_number": "801-689-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINE",
        "first_name": "MIRANDA",
        "middle_name": "L",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "12925233-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landon Deru, ATC-L
• Deseret Health and Rehab at Ogden LLC
• Sheryl Lee Despiegelaere, NP-C
• Stephanie Taryn Detar, HHP
• Developmental Training Systems, Inc.
• Gary L Devries, PHD
• Elizabeth Dewitt
• Diabetes Specialty Center LLC
• Alexander Sebastian Diamond, RN
• Tana Diamond, RN

• Massage Therapist in Ogden, UT
• Providers in Ogden, UT by specialty
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.