Katherine Theresa Petrik

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

21153 Issued in ND

Practice address

5675 26TH Ave S Ste 140
Fargo, ND 58104-8975

Phone

(701) 658-5883

NPI assigned

Mar 5, 2025

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

State licenses

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1922806967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 24TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581035723",
            "telephone_number": "218-415-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 26TH AVE S STE 140",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048975",
            "telephone_number": "701-658-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIK",
        "first_name": "KATHERINE",
        "middle_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ND",
            "license": "21153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Peterson, M.S.
• Susan Jane Peterson, RN
• Terry A Peterson, PA-C
• Thomas Michael Peterson, ATC
• Wanda Lee Peterson, LRD
• Anna Petry, D.C.
• Erika Teresa Petry, OT
• Destinee Petsinger
• Haley Marie Pettis, DPT
• Jeanine Peyerl, OTR/L

• Massage Therapist in Fargo, ND
• Providers in Fargo, ND by specialty
• Massage Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.