Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia M Miranda, LMT, COTARET

Individual provider Occupational Therapy Assistant · NPI 1780901959

Alicia M Miranda, LMT, COTARET is an Occupational Therapy Assistant in Lake Oswego, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and Oregon.

Licensed in
FL, OR
In the registry since
2010
Specialties on file
3
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

4949 Meadows Rd Ste 140
Lake Oswego, OR 97035-3156
Phone: (503) 305-7244
Fax: (503) 305-8849
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21810 Willamette Dr, West Linn, OR 97068-3287 — (503) 305-8612

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 24185 (OR)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OTA 14848 (FL)
Massage Therapist Taxonomy 225700000X · Licence MA41682 (FL)

Record details

NPI number1780901959
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT , COTARET
Sole proprietorYes
NPI enumeratedApril 28, 2010
Last updated in NPPESApril 27, 2025
Certification dateApril 27, 2025

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