Pender Athletic Brands, Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

PENDER ATHLETIC BRANDS, INC.

Practice address

250 Red Cliffs Dr Ste 36
St George, UT 84790-8129

Phone

(540) 300-2626

NPI assigned

Feb 26, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Pender

Title

President

Phone

(931) 896-3234

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Celtic Touch Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paige Anderson, LMT

  • Massage Therapist
  • St George, UT
  • NPI 1457087736
  NPD

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

{
    "created_epoch": "1645833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645833600000",
    "number": "1487300562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 N HABITAT DR",
            "city": "WASHINGTON",
            "state": "UT",
            "postal_code": "847801366",
            "telephone_number": "931-896-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RED CLIFFS DR STE 36",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908129",
            "telephone_number": "540-300-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDER ATHLETIC BRANDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A",
        "authorized_official_last_name": "PENDER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-896-3234"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPY LICENSE",
            "identifier": "12704436-4701",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Celtic Touch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christian Andrew Pelletier
• Alyssa Peluffo, DPT
• Heather Pelzer
• Grant Pemberton, CMHC
• Toni Pemberton, FNP-BC
• Mary Kathryn Pender, LMT
• Shanna Pender
• Gus Curtis Pendleton, M.D.
• Penelope Eicher MFT Inc
• Yuzhou Peng

• All providers in St George, UT
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2022; 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.