Active NPI
Pam Sears, L.M.T.
- Massage Therapist
- Glendale, AZ
National Provider Identifier
1215055223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-03480P
- Practice address
- 4930 W Glendale Ave
Glendale, AZ 85301-2750 - Phone
- (623) 939-9489
- NPI assigned
- Mar 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT-03480P | AZ | Primary |
Addresses
Primary practice location
4930 W Glendale Ave
Glendale, AZ 85301-2750
Mailing address
4930 W Glendale Ave
Glendale, AZ 85301-2750
Phone (623) 939-9489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033878 | Other | AZ | ASHN PROVIDER I.D. |
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 |
|---|---|---|---|
| MT-03480P | AZ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKenzie-Hennessy Chiropractic PC | Past | Accepting new patients |
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.
-
- Chiropractor
- Glendale, AZ
- NPI 1730379249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215055223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4930 W GLENDALE AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853012750",
"telephone_number": "623-939-9489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4930 W GLENDALE AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853012750",
"telephone_number": "623-939-9489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARS",
"first_name": "PAM",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-03480P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN PROVIDER I.D.",
"identifier": "1033878",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.