Individual provider Active NPI

Karin Renee Ferguson, LMT

  • Massage Therapist
  • Missoula, MT
National Provider Identifier
1639729940
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
16432 Issued in MT
Practice address
1940 Harve Ave Ste 2
Missoula, MT 59801-8332
Phone
(406) 542-0808
Fax
(406) 542-0909
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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 16432 MT Primary

Addresses

Primary practice location

1940 Harve Ave Ste 2
Missoula, MT 59801-8332

Mailing address

1940 Harve Ave Ste 2
Missoula, MT 59801-8332
Phone (406) 542-0808

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Performance Physical Therapy PC CurrentSince Sep 25, 2019 Accepting new patients

Locations

1940 Harve Ave
Ste 2
Missoula, MT 59801
Phone (406) 531-4954

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1639729940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 HARVE AVE STE 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018332",
            "telephone_number": "406-542-0808",
            "fax_number": "406-542-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 HARVE AVE STE 2",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018332",
            "telephone_number": "406-542-0808",
            "fax_number": "406-542-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "KARIN",
        "middle_name": "RENEE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "16432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.