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Jessica Suzanne Pedersen , LMT

Massage Therapist β€’ Pendleton, OR

Active NPI 1073995429 Individual Practitioner Female Practitioner
Practice location in NPPES

812 Nw 12th St
Pendleton, OR 97801

Call 5413108572 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

812 Nw 12th St

Pendleton, OR 97801

Telephone 5413108572

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pendleton and Oregon

4 active clinicians are listed under Massage Therapist with a practice address in Pendleton, OR (6,086 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

License # reported to NPPES WA 60540879

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Massage Therapist

NUCC Taxonomy Code: 225700000X

License # reported to NPPES OR 20139

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location September 01, 2018

Registered at 812 NW 12TH ST, PENDLETON, OR 97801 (Tel: 5413108572)

βœ…
NPI Profile Active December 11, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address December 11, 2017

Registered at 812 NW 12TH ST, PENDLETON, OR 978011232 (Tel: 5413108572)

πŸ“
Updated Practice Location December 11, 2017

Registered at 914 SE ISAAC AVE, PENDLETON, OR 978013236 (Tel: 5413108572)

πŸ‘€
Provider Name / Credentials Updated December 11, 2017

Recorded as JESSICA PEDERSEN, LMT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2017

Massage Therapist (license number reported to NPPES: OR 20139)

βœ…
NPI Profile Active June 22, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 22, 2015

Registered at 914 SE ISAAC AVE, PENDLETON, OR 978013236 (Tel: 5413108572)

πŸ“
Business Mailing Address (Initial Record) June 22, 2015

Registered at 914 SE ISAAC AVE, PENDLETON, OR 978013236 (Tel: 5413108572)

πŸ‘€
Provider Name / Credentials (Initial Record) June 22, 2015

Recorded as JESSICA PEDERSEN, LMP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2015

Massage Therapist (license number reported to NPPES: WA 60540879)

🟒
Initial NPI Registration & Enumeration June 22, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073995429
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2015
Last Update: September 01, 2018
Sole Proprietor: Yes

Mailing Address

812 Nw 12th St

Pendleton, OR 978011232

Phone: 5413108572

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.