Sara Christine Peterson

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

1260 Highway 25 S
Monticello, MN 55362-8921

Phone

(763) 260-8401

NPI assigned

Sep 27, 2024

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Big Lake Spine & Sport, PA

  • Chiropractor
  • Monticello, MN
  • NPI 1295747889
  NPD
• Integrated Care Clinics, PA

  • Physical Therapist
  • Monticello, MN
  • NPI 1396775110
  NPD

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1194543207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 HIGHWAY 25 S",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 HIGHWAY 25 S",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553628921",
            "telephone_number": "763-260-8401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Rose Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Big Lake",
            "state": "MN",
            "postal_code": "553098870",
            "country_code": "US",
            "telephone_number": "763-260-8401 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SARA",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paws Up Animal Chiropractic LLC
• Tracy Penn, LICSW
• Kristy Peterfeso, APRN, CNP
• Elizabeth Mae Peterka
• Jamie-Sue Peterson, MSW, LICSW
• Mikayla Pieper
• Zoey Pierce
• Janice Pletsch, MD
• Polaris Chiropractic LLC
• Victoria Portner

• Massage Therapist in Monticello, MN
• Providers in Monticello, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.