Active NPI
Rebecca Peterson, L.M.T.
- Massage Therapist
- Eau Claire, WI
National Provider Identifier
1780934562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10862-146
- Practice address
- 836 Richard Dr
Studio #8
Eau Claire, WI 54701-6242 - Phone
- (715) 492-3166
- NPI assigned
- Sep 19, 2012
- Last updated
- Sep 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 10862-146 | WI | Primary |
Addresses
Primary practice location
836 Richard Dr
Studio #8
Eau Claire, WI 54701-6242
Mailing address
836 Richard Dr
Studio #8
Eau Claire, WI 54701-6242
Phone (715) 492-3166
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 |
|---|---|---|---|
| 10862-146 | WI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1780934562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 RICHARD DR",
"address_2": "STUDIO #8",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016242",
"telephone_number": "715-492-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 RICHARD DR",
"address_2": "STUDIO #8",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016242",
"telephone_number": "715-492-3166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "REBECCA",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-19",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "10862-146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.