Active NPI
Petra Vetter, CMT,CPMT,CD(DONA)
- Massage Therapist
- San Diego, CA
National Provider Identifier
1437412483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 171
- Practice address
- 16941 Bellota Dr
San Diego, CA 92128-2608 - Phone
- (858) 774-5480
- NPI assigned
- Jun 23, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 171 | CA | Primary |
| Doula | 374J00000X |
Addresses
Primary practice location
16941 Bellota Dr
San Diego, CA 92128-2608
Mailing address
16941 Bellota Dr
San Diego, CA 92128-2608
Phone (858) 774-5480
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 |
|---|---|---|---|
| 171 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371859200000",
"number": "1437412483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16941 BELLOTA DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282608",
"telephone_number": "858-774-5480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16941 BELLOTA DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921282608",
"telephone_number": "858-774-5480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VETTER",
"first_name": "PETRA",
"name_prefix": "Ms.",
"credential": "CMT,CPMT,CD(DONA)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-23",
"last_updated": "2013-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "171",
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.