Individual provider Active NPI

Terry Ann Norberg, LMP

  • Massage Therapist
  • Port Angeles, WA
National Provider Identifier
1467637546
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00006348 Issued in WA
Practice address
1544 Mount Pleasant Rd
Port Angeles, WA 98362-9333
Phone
(360) 457-6589
NPI assigned
Jan 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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 MA00006348 WA Primary

Addresses

Primary practice location

1544 Mount Pleasant Rd
Port Angeles, WA 98362-9333

Mailing address

1544 Mount Pleasant Rd
Port Angeles, WA 98362-9333
Phone (360) 457-6589

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

LicenseStateTypeSpecialty
MA00006348WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1467637546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 MOUNT PLEASANT RD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629333",
            "telephone_number": "360-457-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 MOUNT PLEASANT RD",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983629333",
            "telephone_number": "360-457-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORBERG",
        "first_name": "TERRY",
        "middle_name": "ANN",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00006348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.