Active NPI
Annette Marie Pena, CMT
- Massage Therapist
- Denver, CO
National Provider Identifier
1326267345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- NOT NEEDED
- Practice address
- 1776 S Jackson St
Suite 701
Denver, CO 80210-3801 - Phone
- (303) 757-2455
- Fax
- (303) 757-2453
- NPI assigned
- Apr 25, 2007
- Last updated
- Jul 8, 2007
- 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 | NOT NEEDED | CO | Primary |
Addresses
Primary practice location
1776 S Jackson St
Suite 701
Denver, CO 80210-3801
Mailing address
350 S Clarkson St
Denver, CO 80209-2126
Phone (720) 937-1029
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 |
|---|---|---|---|
| NOT NEEDED | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326267345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 S CLARKSON ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802092126",
"telephone_number": "720-937-1029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 S JACKSON ST",
"address_2": "SUITE 701",
"city": "DENVER",
"state": "CO",
"postal_code": "802103801",
"telephone_number": "303-757-2455",
"fax_number": "303-757-2453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "ANNETTE",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "NOT NEEDED",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
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.