Active NPI
Victoria Pender, LMT
- Massage Therapist
- Southern Pines, NC
National Provider Identifier
1134093222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 21245
- Practice address
- 361 N Bennett St
Southern Pines, NC 28387-4812 - Phone
- (910) 692-5207
- Fax
- (910) 692-4498
- NPI assigned
- Oct 1, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 21245 | NC | Primary |
Addresses
Primary practice location
361 N Bennett St
Southern Pines, NC 28387-4812
Mailing address
361 N Bennett St
Southern Pines, NC 28387-4812
Phone (910) 692-5207
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21245 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Pines Chiropractic, P.a. | Massage Therapist | Current | Accepting new patients |
Locations
361 N Bennett St
Southern Pnes, NC 28387
Phone (910) 692-5207
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": "1759276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1134093222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 N BENNETT ST",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283874812",
"telephone_number": "910-692-5207",
"fax_number": "910-692-4498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 N BENNETT ST",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283874812",
"telephone_number": "910-692-5207",
"fax_number": "910-692-4498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDER",
"first_name": "VICTORIA",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-01",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "21245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.