Individual provider Active NPI

Patrick Miller, LMT

  • Massage Therapist
  • Overland Park, KS
National Provider Identifier
1770533705
Registry record updated Aug 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
7520 Shawnee Mission Pkwy # C15
Overland Park, KS 66202-4401
Phone
(816) 842-9589
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 4005 LA
Massage Therapist 225700000X 2003030459 MO
Massage Therapist 225700000X MO Primary

Addresses

Primary practice location

7520 Shawnee Mission Pkwy # C15
Overland Park, KS 66202-4401

Mailing address

7520 Shawnee Mission Pkwy # C15
Overland Park, KS 66202-4401
Phone (816) 842-9589

Other practice location 1

7326 Cohn St
New Orleans, LA 70118-5332
Phone (504) 717-2577

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

LicenseStateTypeSpecialty
4005LAMDMassage Therapist
2003030459MOMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1770533705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7520 SHAWNEE MISSION PKWY # C15",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662024401",
            "telephone_number": "816-842-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 SHAWNEE MISSION PKWY # C15",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662024401",
            "telephone_number": "816-842-9589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7326 Cohn St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701185332",
            "country_code": "US",
            "telephone_number": "504-717-2577",
            "fax_number": "816-968-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "4005",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2003030459",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; 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.