Debra Denise Overberg, BS, RMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

4422 Issued in CO

Practice address

246 E 1St St
Salida, CO 81201-2113

Phone

(719) 221-0338

NPI assigned

Sep 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Debra Denise Bokel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1811248503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 I ST",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812011926",
            "telephone_number": "719-221-0338",
            "fax_number": "719-539-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 E 1ST ST",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012113",
            "telephone_number": "719-221-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBERG",
        "first_name": "DEBRA",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "BS, RMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "4422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "BOKEL",
            "middle_name": "DENISE",
            "prefix": "MRS.",
            "credential": "BS, RMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• On Site Dermatology of Colorado PLLC
• Christine M Oprzedek-Sturgeon, NP-C
• Bev Orrill
• Ashley Ottmer
• Christopher Oudekerk, CRNA
• Beth Pack, PA
• Skylar Paffenroth
• Deborah Palmer-Thomas
• Steven James Palmer, RN
• Sara Papathakis, LCSW

• Massage Therapist in Salida, CO
• Providers in Salida, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.

Verify at the official NPI Registry.