Individual provider Active NPI

George Anthony Pena, R.M.T.

  • Massage Therapist
  • Englewood, CO
National Provider Identifier
1770818296
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
4899 Issued in CO
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

Updated by the provider on Jul 26, 2012

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 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

IdentifierTypeStateIssuer
4899OtherCODEPARTMENT OF REGULATORY AGENCIES

Other names 1

  • Tony Pena Other name

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
4899COMDMassage 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.

Verify at the official NPI Registry.