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

Myles Markham, PA-C

Individual provider Athletic Trainer · NPI 1104394881

Myles Markham, PA-C is an Athletic Trainer in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2018.

Licensed in
MA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9482 (MA)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1104394881
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 11, 2018
Last updated in NPPESAugust 24, 2023
Certification dateAugust 24, 2023
Mailing address300 Longwood Ave, Boston, MA 02115-5724

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