Active NPI
Michele Pendegar
- Massage Therapist
- Mission, TX
National Provider Identifier
1184112666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT124589
- Practice address
- 813 Travis St Unit 211
Mission, TX 78572-1303 - Phone
- (954) 253-5900
- NPI assigned
- Apr 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT124589 | TX | Primary |
| Mental Health Counselor | 101YM0800X | MH160 | FL |
Addresses
Primary practice location
813 Travis St Unit 211
Mission, TX 78572-1303
Mailing address
1011 Ogden Dr
Austin, TX 78733-2617
Phone (954) 253-5900
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 |
|---|---|---|---|
| MH160 | FL | MD | Mental Health Counselor |
| MT124589 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1184112666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 OGDEN DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787332617",
"telephone_number": "954-253-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 TRAVIS ST UNIT 211",
"city": "MISSION",
"state": "TX",
"postal_code": "785721303",
"telephone_number": "954-253-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDEGAR",
"first_name": "MICHELE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-30",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT124589",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH160",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.