Individual provider Active NPI

Karen Louise Pett, LMT CNMT

  • Massage Therapist
  • Woodland Park, CO
National Provider Identifier
1902041064
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
707893 Issued in CO
Practice address
602 W Midland Ave
Woodland Park, CO 80863-1086
Phone
(719) 686-0142
Fax
(719) 686-0142
NPI assigned
Dec 3, 2008
Last updated
Dec 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 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 707893 CO Primary

Addresses

Primary practice location

602 W Midland Ave
Woodland Park, CO 80863-1086

Mailing address

PO Box 4199
Woodland Park, CO 80866-4199
Phone (719) 686-0142

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

LicenseStateTypeSpecialty
707893COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1902041064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4199",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808664199",
            "telephone_number": "719-686-0142",
            "fax_number": "719-686-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 W MIDLAND AVE",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808631086",
            "telephone_number": "719-686-0142",
            "fax_number": "719-686-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETT",
        "first_name": "KAREN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "LMT CNMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "707893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.