Active NPI
Lee Nathaniel Miller Jr.
- Massage Therapist
- Greensboro, NC
National Provider Identifier
1831995570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 22102
- Practice address
- 301 State St Ste F
Greensboro, NC 27408-5939 - Phone
- (336) 312-0012
- NPI assigned
- Feb 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 22102 | NC | Primary |
Addresses
Primary practice location
301 State St Ste F
Greensboro, NC 27408-5939
Mailing address
4800 Blakeshire Rd
Greensboro, NC 27406-9711
Phone (336) 615-0275
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22102 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1831995570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 BLAKESHIRE RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274069711",
"telephone_number": "336-615-0275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 STATE ST STE F",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274085939",
"telephone_number": "336-312-0012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LEE",
"middle_name": "NATHANIEL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-24",
"last_updated": "2025-02-24",
"certification_date": "2025-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "22102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.