Pedro Manuel Fernandez, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

14030890-4701

Practice address

921 E Executive Park Dr Ste C
Murray, UT 84117-3549

Phone

(385) 831-1204

NPI assigned

Jun 17, 2025

Sex

Male

Sole proprietor

Yes

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": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1861388415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 N 300 E # 745",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846601215",
            "telephone_number": "435-695-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E EXECUTIVE PARK DR STE C",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841173549",
            "telephone_number": "385-831-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "PEDRO",
        "middle_name": "MANUEL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": "14030890-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Aaron Ferguson, APRN-BC
• Michael Hans Ferguson, P.A.
• Robert Edward Hugh Ferguson Jr., M.D.
• Julio Fernandez-Pichardo
• Amanda Fernandez-Quarles, PA-C
• Brandon J Ferney, MD
• Sergio Stephen Ferrante, MD
• Donna Lucille Ferrell, APRN
• Erin Ferrer, NP
• Madelyn Ferrer

• Massage Therapist in Murray, UT
• Providers in Murray, UT by specialty
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; 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.