Individual provider Active NPI

Peter Kenney

  • Massage Therapist
  • Los Angeles, CA
National Provider Identifier
1639088495
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
35713 Issued in CA
Practice address
5403 W 8TH St Apt 205
Los Angeles, CA 90036-4841
Phone
(310) 717-7458
Fax
(310) 717-7458
NPI assigned
Sep 4, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 35713 CA Primary

Addresses

Primary practice location

5403 W 8TH St Apt 205
Los Angeles, CA 90036-4841

Mailing address

5403 W 8TH St Apt 205
Los Angeles, CA 90036-4841
Phone (310) 717-7458

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1639088495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5403 W 8TH ST APT 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364841",
            "telephone_number": "310-717-7458",
            "fax_number": "310-717-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5403 W 8TH ST APT 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900364841",
            "telephone_number": "310-717-7458",
            "fax_number": "310-717-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "PETER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "35713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.