Nicole C Pendleton, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227015868 Issued in IL

Practice address

1821 W Belmont Ave
Chicago, IL 60657-2040

Phone

(773) 863-3800

NPI assigned

Oct 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1548697840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 N HOWE ST",
            "address_2": "3N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144414",
            "telephone_number": "773-682-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572040",
            "telephone_number": "773-863-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "NICOLE",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-01",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227015868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Pender
• Kathleen Marie Pendergast, LCPC
• Theresa Pendergraff
• Paul B Pendler, PSY.D.
• Jeress T Pendleton
• Anne Peneff-Albert, D.C.
• Chengwei Peng, MD
• Jason L Peng, MD
• Kevin Peng
• Sophia Peng, MD

• Massage Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.