Active NPI
Corrine Dawn Attebery, LMT, MMP
- Massage Therapist
- Central Point, OR
National Provider Identifier
1033364633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 13882
- Practice address
- 1056 Beall LN.
Central Point, OR 97502 - Phone
- (541) 621-4777
- NPI assigned
- Nov 24, 2008
- Last updated
- Jan 9, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 13882 | OR | Primary |
Addresses
Primary practice location
1056 Beall LN.
Central Point, OR 97502
Mailing address
PO Box 1473
Rogue River, OR 97537
Phone (541) 621-4777
Other names 1
- Corrine Dawn Gibson
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 |
|---|---|---|---|
| 13882 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1033364633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1473",
"city": "ROGUE RIVER",
"state": "OR",
"postal_code": "97537",
"telephone_number": "541-621-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1056 BEALL LN.",
"city": "CENTRAL POINT",
"state": "OR",
"postal_code": "97502",
"telephone_number": "541-621-4777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATTEBERY",
"first_name": "CORRINE",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "LMT, MMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "13882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CORRINE",
"last_name": "GIBSON",
"middle_name": "DAWN",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Central Point, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.