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NICHOLAS PETERKA LMT
NPI 1184264038
Massage Therapist in Portland, OR

Active since January 08, 2020
1400 NW MARSHALL ST UNIT 108, PORTLAND, OR 97209(503) 208-6297 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Peterka Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS PETERKA LMT (NPI 1184264038) is an individual massage therapist in Portland, Oregon, licensed in Oregon (17741) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1184264038
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameNICHOLAS PETERKACredential: LMT
Location Address1400 NW MARSHALL ST UNIT 108Portland, OR 97209-3367
Mailing Address1400 Nw Marshall St Unit 108Portland, OR 97209-3367 · (503) 351-5144 · Fax (503) 351-5144
Phone(503) 208-6297
Sole ProprietorYes
Enumeration DateJanuary 8, 2020
✔ NPI 1184264038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 17741
Definition
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.
1400 NW MARSHALL ST UNIT 108, Portland, OR 97209
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Peterka's NPI number?

The NPI number for Nicholas Peterka is 1184264038. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Where is Nicholas Peterka located?

Nicholas Peterka practices at 1400 NW Marshall St Unit 108, Portland, OR 97209. The listed phone number is (503) 208-6297.

What is Nicholas Peterka's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Nicholas Peterka was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.