Active NPI
Pashan Sueing, MASSAGE THERAPIST
- Massage Therapist
- Phoenix, AZ
National Provider Identifier
1659039865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-28076
- Practice address
- 1130 E Missouri Ave Ste 720
Phoenix, AZ 85014-4382 - Phone
- (615) 625-5873
- NPI assigned
- Dec 5, 2021
- 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 | MT-28076 | AZ | Primary |
Addresses
Primary practice location
1130 E Missouri Ave Ste 720
Phoenix, AZ 85014-4382
Mailing address
3317 E Bell Rd Ste 101 PMB #262
Phoenix, AZ 85032-2726
Phone (480) 848-4704
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-28076 | AZ | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kennedy Allure LLC | Massage Therapist | Current | Accepting new patients |
Locations
1130 E Missouri Ave
Ste 720
Phoenix, AZ 85014
Phone (602) 956-5600
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1659039865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3317 E BELL RD STE 101 PMB #262",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322726",
"telephone_number": "480-848-4704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 E MISSOURI AVE STE 720",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850144382",
"telephone_number": "615-625-5873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUEING",
"first_name": "PASHAN",
"name_prefix": "Miss",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-05",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-28076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.