Paula M Peterson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

3506 Issued in OR

Practice address

598 NE E St Ste a
Grants Pass, OR 97526-2350

Phone

(541) 953-1029

NPI assigned

Nov 22, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1811713977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 AZALEA DR",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975267202",
            "telephone_number": "541-953-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 NE E ST STE A",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262350",
            "telephone_number": "541-953-1029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5219 Azalea Dr",
            "address_purpose": "LOCATION",
            "city": "Grants Pass",
            "state": "OR",
            "postal_code": "975267202",
            "country_code": "US",
            "telephone_number": "541-953-1029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "PAULA",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "3506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Personius, PA
• Teresa M Persson, MS LPC
• Peter Shelby Bogard DO (Bogard Family and Sports Medicine)
• Marla Peters, MD
• Katie Petersen, CPM, LDM
• Samuel Nolan Peterson, AU.D.
• Kimberly Petetit
• Kyle M Pett, DMD
• Shawna Nichole Pfaendler
• Melissa Pfeifle, PHARMD

• Massage Therapist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.