Individual provider Active NPI

Pashan Sueing, MASSAGE THERAPIST

  • Massage Therapist
  • Phoenix, AZ
National Provider Identifier
1659039865
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-28076 Issued in AZ
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

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MT-28076AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Allure LLC Massage Therapist CurrentSince Sep 8, 2025 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.

Verify at the official NPI Registry.