Marisol Pena, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

10575 NE 12TH St # 17
Bellevue, WA 98004-4362

Phone

(425) 278-6465

NPI assigned

Jul 14, 2021

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

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1659943041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10575 NE 12TH ST # 17",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044362",
            "telephone_number": "425-278-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10575 NE 12TH ST # 17",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044362",
            "telephone_number": "425-278-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "MARISOL",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Pellegrini, LMP
• Marc D Pellicciaro, M.D.
• Elena Luisa Pellicer, MD
• Richard Stuart Pelman, MD
• Sophia Pelzer
• Mariela Penalverty Morales, RD
• Alexandra Pene, OT
• Karen Elizabeth Penewell, PT, DPT
• Jinsong Peng
• Cullen Penner-Ray

• Massage Therapist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.