Dianne Pernetti LMT LLC

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

5464 Issued in OR

Legal business name

DIANNE PERNETTI LMT LLC

Practice address

4426 SE 34TH Ave
Portland, OR 97202-3310

Phone

(503) 940-5955

NPI assigned

Apr 23, 2008

Last updated

Apr 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dianne Laura Pernetti, LMTNPI 1639129315

Title

Pres.

Phone

(503) 940-5955

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dianne L Pernetti, LMT

  • Massage Therapist
  • Portland, OR
  • NPI 1639129315
  Authorized official Same address or phone

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1427223213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 SE 34TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023310",
            "telephone_number": "503-940-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4426 SE 34TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023310",
            "telephone_number": "503-940-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANNE PERNETTI LMT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "PERNETTI",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "503-940-5955",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "5464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMENANTE",
            "identifier": "113218",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana S Domnitei MD LLC
• Alison Kelso Diana, LCSW
• Emily Flynn Diana, MS, RD
• Diane F. Whitney, M. D., P. C.
• Dianne D Applegate DDS LLC
• Jasmyni Dias
• Jayme Dias
• Blanca Alejandra Diaz Barajas
• Eliasar Diaz Lupean
• Marcia Patricia Diaz Medina, M.D.

• Mechanotherapist in Portland, OR
• Providers in Portland, OR by specialty
• Mechanotherapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.