Individual provider Active NPI

Amada Mireles, LMT, COTA, CMLDT

  • Massage Therapist
  • Houston, TX
National Provider Identifier
1902761000
Registry record updated Dec 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT130410 Issued in TX
Practice address
4203 Montrose Blvd Ste 400
Houston, TX 77006-5470
Phone
(602) 332-5572
NPI assigned
Dec 20, 2025
Last updated
Dec 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 217590 TX
Massage Therapist 225700000X MT130410 TX Primary

Addresses

Primary practice location

4203 Montrose Blvd Ste 400
Houston, TX 77006-5470

Mailing address

2514 Ideal St
Houston, TX 77009-5656
Phone (602) 332-5572

Other practice location 1

1302 N Shepherd Dr Fl 3
Houston, TX 77008-3752
Phone (602) 332-5572

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
217590TXMDOccupational Therapy Assistant
MT130410TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1766188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1902761000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 IDEAL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770095656",
            "telephone_number": "602-332-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 MONTROSE BLVD STE 400",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770065470",
            "telephone_number": "602-332-5572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1302 N Shepherd Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770083752",
            "country_code": "US",
            "telephone_number": "602-332-5572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRELES",
        "first_name": "AMADA",
        "credential": "LMT, COTA, CMLDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-20",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "217590",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT130410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.