Keith Montague Miller, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA26684 Issued in FL

Practice address

1717 N Bayshore Dr
Health Club RG Level
Miami, FL 33132-1180

Phone

(305) 610-7081

NPI assigned

Jun 11, 2010

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": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1730409822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 CALAIS DR",
            "address_2": "54",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331416401",
            "telephone_number": "305-610-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N BAYSHORE DR",
            "address_2": "HEALTH CLUB RG LEVEL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321180",
            "telephone_number": "305-610-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEITH",
        "middle_name": "MONTAGUE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA26684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Miller
• Ian Miller, MD
• Jessica Miller, ARNP
• Jessica Erin Miller, APRN
• Justin Lee Miller, CCNS
• Kenneth James Miller Jr., CRNA
• Kristin Lynn Miller, NP-C
• Lisa Miller, MD
• Lloyd Richard Miller, M.D.
• Luis A Miller

• Massage Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.