Active NPI
Roseanne Nicole Pearson, L.M.T.
- Massage Therapist
- Deer Lodge, MT
National Provider Identifier
1174963573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- LMT-LMT-LIC-1975
- Practice address
- 706 Eastside Rd
Deer Lodge, MT 59722-9750 - Phone
- (406) 839-7459
- NPI assigned
- Jun 28, 2013
- Last updated
- Aug 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | LMT-LMT-LIC-1975 | MT | Primary |
Addresses
Primary practice location
706 Eastside Rd
Deer Lodge, MT 59722-9750
Mailing address
706 Eastside Rd
Deer Lodge, MT 59722-9750
Phone (406) 839-7459
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 |
|---|---|---|---|
| LMT-LMT-LIC-1975 | MT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376265600000",
"number": "1174963573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 EASTSIDE RD",
"city": "DEER LODGE",
"state": "MT",
"postal_code": "597229750",
"telephone_number": "406-839-7459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 EASTSIDE RD",
"city": "DEER LODGE",
"state": "MT",
"postal_code": "597229750",
"telephone_number": "406-839-7459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "ROSEANNE",
"middle_name": "NICOLE",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-28",
"last_updated": "2013-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "LMT-LMT-LIC-1975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Lodge, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.