Active NPI
George Anthony Pena, R.M.T.
- Massage Therapist
- Englewood, CO
National Provider Identifier
1770818296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4899
- Practice address
- 333 W Hampden Ave
Suite 420E
Englewood, CO 80110-2330 - Phone
- (303) 931-2133
- Fax
- (303) 781-1022
- NPI assigned
- Oct 16, 2009
- Sex
- Male
- 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 | 4899 | CO | Primary |
Addresses
Primary practice location
333 W Hampden Ave
Suite 420E
Englewood, CO 80110-2330
Mailing address
333 W Hampden Ave Ste 420E
Suite 204
Englewood, CO 80110-2334
Phone (303) 931-2133
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4899 | Other | CO | DEPARTMENT OF REGULATORY AGENCIES |
Other names 1
- Tony Pena
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 |
|---|---|---|---|
| 4899 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343260800000",
"number": "1770818296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 W HAMPDEN AVE STE 420E",
"address_2": "SUITE 204",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801102334",
"telephone_number": "303-931-2133",
"fax_number": "303-781-1022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W HAMPDEN AVE",
"address_2": "SUITE 420E",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801102330",
"telephone_number": "303-931-2133",
"fax_number": "303-781-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA",
"first_name": "GEORGE",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "R.M.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-16",
"last_updated": "2012-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "4899",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF REGULATORY AGENCIES",
"identifier": "4899",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TONY",
"last_name": "PENA",
"credential": "R.M.T.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.