The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pace and Florida

8 active clinicians are listed under Massage Therapist with a practice address in Pace, FL (6,948 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-11-24

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

License # reported to NPPES FL MA104222

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events

📍

Updated Practice Location November 24, 2025

Registered at 4958 US-90 W, PACE, FL 32571 (Tel: 8509945656)

📍

Updated Business Mailing Address November 24, 2025

Registered at 4635 S ALBERTA DR, MILTON, FL 32583 (Tel: 5032017444)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2025

Massage Therapist (license number reported to NPPES: FL MA104222)

✅

NPI Profile Active June 10, 2014

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) June 10, 2014

Registered at 18813 SW MARTINAZZI AVE, TUALATIN, OR 970626807 (Tel: 5037655265)

📍

Business Mailing Address (Initial Record) June 10, 2014

Registered at 15143 SW KENTON DR, TIGARD, OR 972247374 (Tel: 5032017444)

👤

Provider Name / Credentials (Initial Record) June 10, 2014

Recorded as LISA PENDLETON, LMT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2014

Massage Therapist (license number reported to NPPES: OR 11127)

🟢

Initial NPI Registration & Enumeration June 10, 2014

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1184037905

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 10, 2014

Last Update: November 24, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4635 S Alberta Dr

Milton, FL 32583

Phone: 5032017444

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.