Individual provider Active NPI

Judy Marion Pendas, RCMT

  • Massage Therapist
  • Glenwood Springs, CO
National Provider Identifier
1043589872
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
10265 Issued in CO
Practice address
812 Pitkin Ave
Glenwood Springs, CO 81601-3342
Phone
(970) 618-7825
NPI assigned
Dec 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 10265 CO Primary

Addresses

Primary practice location

812 Pitkin Ave
Glenwood Springs, CO 81601-3342

Mailing address

114 Virginia Rd
Glenwood Springs, CO 81601-4148
Phone (970) 618-7825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10265COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1043589872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 VIRGINIA RD",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014148",
            "telephone_number": "970-618-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 PITKIN AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816013342",
            "telephone_number": "970-618-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDAS",
        "first_name": "JUDY",
        "middle_name": "MARION",
        "credential": "RCMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "10265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.