Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659108231 Individual Practitioner Male Practitioner

Jacob Petersen

Massage Therapist • El Paso, TX

Professional Overview & Biography Verified Profile Summary

Jacob Petersen is a registered healthcare professional specializing in Massage Therapist in El Paso, TX. Practice services are available at 4331 JON CUNNINGHAM BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4331 Jon Cunningham Blvd

El Paso, TX 799343729

Telephone 9153454800

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in El Paso, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
144 Specialists

Practicing in El Paso, TX (3157 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-17
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License TX MT141891

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 17, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2024

Registered at 4331 JON CUNNINGHAM BLVD, EL PASO, TX 799343729 (Tel: 9153454800)

📍
Updated Business Mailing Address September 17, 2024

Registered at 4331 JON CUNNINGHAM BLVD, EL PASO, TX 799343729 (Tel: 9153454800)

👤
Provider Name / Credentials Updated September 17, 2024

Recorded as JACOB PETERSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2024

Massage Therapist (License #MT141891 in TX)

🟢
Initial NPI Registration & Enumeration September 17, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659108231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2024
Last Update: September 17, 2024
Sole Proprietor: Yes

Mailing Address

4331 Jon Cunningham Blvd

El Paso, TX 799343729

Phone: 9153454800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.