Katrina Grubert, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

24977 Issued in OR

Practice address

628 NW York Dr
Bend, OR 97703-1572

Phone

(541) 388-2429

NPI assigned

Apr 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1083177927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 NW PORTLAND AVE APT 7",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 NW YORK DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031572",
            "telephone_number": "541-388-2429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61615 Athletic Club Dr",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023247",
            "country_code": "US",
            "telephone_number": "541-385-3062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRUBERT",
        "first_name": "KATRINA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy I Gross, PT
• Elizabeth Kay Grotsky, MS
• Ground Work Physical Therapy
• Eileen Marie Grover, LCSW
• Pamela Jean Groves, PHYSICAL THERAPIST
• Lindsay Elizabeth Gruca, M.ED CCC-SLP
• Jasely Grullon Leandry Grullon
• Janine Grund
• Mia Guadian
• Nicole Guerra Willingham, LMT

• Massage Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.