Individual provider Active NPI

Debra Ann Loberger, MT

  • Massage Therapist
  • Ridgway, CO
National Provider Identifier
1891949269
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
7480 Pleasant Point Dr
Ridgway, CO 81432-8904
Phone
(970) 729-0226
NPI assigned
Nov 11, 2008
Last updated
Nov 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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 NU Primary

Addresses

Primary practice location

7480 Pleasant Point Dr
Ridgway, CO 81432-8904

Mailing address

7480 Pleasant Point Dr
Ridgway, CO 81432-8904
Phone (970) 729-0226

Other identifiers 1

IdentifierTypeStateIssuer
403612-00OtherCONATIONAL CERTIFICATION BOARD FOR THERAPUTIC MASSAGE & BODYWORK

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
Credentials
Medical Technician

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1891949269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 PLEASANT POINT DR",
            "city": "RIDGWAY",
            "state": "CO",
            "postal_code": "814328904",
            "telephone_number": "970-729-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 PLEASANT POINT DR",
            "city": "RIDGWAY",
            "state": "CO",
            "postal_code": "814328904",
            "telephone_number": "970-729-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBERGER",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION BOARD FOR THERAPUTIC MASSAGE & BODYWORK",
            "identifier": "403612-00",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgway, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.