Individual provider Active NPI

Ilyana Abagail Peterson-Kreie, LMT

  • Massage Therapist
  • Grand Junction, CO
National Provider Identifier
1245147206
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0027803 Issued in CO
Practice address
772 Horizon Dr
Grand Junction, CO 81506-3910
Phone
(360) 399-5398
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT.0027803 CO Primary

Addresses

Primary practice location

772 Horizon Dr
Grand Junction, CO 81506-3910

Mailing address

304 W Applewood Dr
Fruita, CO 81521-8810
Phone (360) 399-5398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1245147206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W APPLEWOOD DR",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815218810",
            "telephone_number": "360-399-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "772 HORIZON DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815063910",
            "telephone_number": "360-399-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON-KREIE",
        "first_name": "ILYANA",
        "middle_name": "ABAGAIL",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0027803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.