IndividualActive
Tina Miccio, L.M.T.
NPI 1629241013 · Massage Therapist · Bradenton, FL
Provider details
- NPI number
- 1629241013
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- L.M.T.
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA49526 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1820 59th St W
Bradenton, FL 34209-4630
Phone: (941) 266-6906
Street-level locationGet directions
Mailing address
Po Box 14477
Bradenton, FL 34280
Registry dates
- Enumerated
- 2008-04-08
- Last updated
- 2013-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.