Amanda Pendergast, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

29206 Issued in OR

Practice address

10 Pier 1 Ste 308
Astoria, OR 97103-6338

Phone

(503) 974-0914

NPI assigned

Dec 11, 2025

Last updated

Dec 11, 2025By the provider in NPPES

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

Other names 1

• Kaos Pendergast Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Theology

State licenses

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1659235943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91660 TAYLORVILLE RD",
            "city": "CLATSKANIE",
            "state": "OR",
            "postal_code": "970168258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PIER 1 STE 308",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971036338",
            "telephone_number": "503-974-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDERGAST",
        "first_name": "AMANDA",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "29206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAOS",
            "last_name": "PENDERGAST",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Katie Olivia May Patterson, PTA
• Paul John Hayner MD PC (Renaissance Health)
• Pauljohn Hayner MD PC (Renaissance Health)
• Benjamin Paz, LPC
• Kelly Elizabeth Peekstok, M.D., MPH
• Vishesh Anand Persaud, M.D
• Henry Perschek, LPC
• Makayla Ann Phillips-Koch, CCC-SLP
• Evan Duane Phillips
• Heidi Suzanne Phillips, MSN APRN CNM IBCLC

• Massage Therapist in Astoria, OR
• Providers in Astoria, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.