Alicia M Miranda, LMT, COTA (RET)

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

24185 Issued in OR

Practice address

4949 Meadows Rd Ste 140
Lake Oswego, OR 97035-3156

Phone

(503) 305-7244

Fax

(503) 305-8849

NPI assigned

Apr 28, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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.

• Portland Sports and Injury Center LLC

  • Sports Physician Chiropractor
  • Lake Oswego, OR
  • NPI 1558586578
  NPD

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745712000000",
    "number": "1780901959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20070 LARKSPUR LN APT 66",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682381",
            "telephone_number": "727-686-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 MEADOWS RD STE 140",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353156",
            "telephone_number": "503-305-7244",
            "fax_number": "503-305-8849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21810 Willamette Dr",
            "address_purpose": "LOCATION",
            "city": "West Linn",
            "state": "OR",
            "postal_code": "970683287",
            "country_code": "US",
            "telephone_number": "503-305-8612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ALICIA",
        "middle_name": "M",
        "credential": "LMT, COTA (RET)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA 14848",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA41682",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Miller, PSYD.
• Ryan John Milley, LAC, MACOM
• John Milner, LPC
• Kiara Camille Mina, DO
• Minimed Distribution Corp.
• Amer J Mirza, M.D.
• Karolina Mishchenko
• Carolyn Jean Mistele, PT
• Mitch Elovitz, LPC, LLC
• Laura Elise Mitchell, PHARMD

• Massage Therapist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2025; 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.