Individual provider Active NPI

Tina Bennett Penland, LMBT

  • Massage Therapist
  • Horse Shoe, NC
National Provider Identifier
1063671410
Registry record updated Jun 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7485 Issued in NC
Practice address
3754 Brevard Rd
Suite 105
Horse Shoe, NC 28742-8752
Phone
(828) 606-0258
NPI assigned
Jun 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2020

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 7485 NC Primary

Addresses

Primary practice location

3754 Brevard Rd
Suite 105
Horse Shoe, NC 28742-8752

Mailing address

115 Willow Peak Rd
Hendersonville, NC 28739-8341
Phone (828) 692-7041

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
7485NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Massage Therapy LLC Massage Therapist CurrentSince Jul 5, 2020 Accepting new patients

Locations

3754 Brevard Rd
Ste 105
Horse Shoe, NC 28742
Phone (828) 407-0246

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593216000000",
    "number": "1063671410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WILLOW PEAK RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287398341",
            "telephone_number": "828-692-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3754 BREVARD RD",
            "address_2": "SUITE 105",
            "city": "HORSE SHOE",
            "state": "NC",
            "postal_code": "287428752",
            "telephone_number": "828-606-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENLAND",
        "first_name": "TINA",
        "middle_name": "BENNETT",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-02",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "7485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horse Shoe, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2020; 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.