Wendy J Bertolino, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

22575 Issued in OR

Practice address

333 SW 5TH St Ste B
Grants Pass, OR 97526-2509

Phone

(541) 471-0397

Fax

(541) 471-6459

NPI assigned

Dec 16, 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

State licenses

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.

• Axis Health, Inc.

  • Chiropractor
  • Grants Pass, OR
  • NPI 1780988261

  Massage Therapist

  NPD
• Ryan Baker, D.C. P.C.

  • Chiropractor
  • Grants Pass, OR
  • NPI 1336203835
  NPD

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1366259012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SW 5TH ST STE B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262509",
            "telephone_number": "541-471-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SW 5TH ST STE B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262509",
            "telephone_number": "541-471-0397",
            "fax_number": "541-471-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLINO",
        "first_name": "WENDY",
        "middle_name": "J",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "22575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Bergman, D.O.
• Jennifer Bernard
• Rashad Bernard
• Kyle Berning, QMHA
• Haley Berry, LMT
• Pamela Lynn Betsworth, LMT
• Kristina Melody Lassfolk Bettencourt, PHARMD
• Kristin Bezdek
• Andre Luiz Bezerra, FNP
• Kimberly G Bibeau, LAC

• All providers in Grants Pass, OR
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.