IndividualActive
Anita Peterson, LMT
NPI 1558983569 · Massage Therapist · Gleneden Beach, OR
Provider details
- NPI number
- 1558983569
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- License
- 16662 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6645 Gleneden Beach Loop
Gleneden Beach, OR 97388-9700
Phone: (541) 764-3797
Street-level locationGet directions
Mailing address
Po Box 94
Depoe Bay, OR 97341-0094
Additional practice locations (1)
- 23 Ne Williams AveDepoe Bay, OR 97341-1979Phone: (541) 961-8657
Registry dates
- Enumerated
- 2020-05-13
- Last updated
- 2020-05-13
- Certified
- 2020-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.