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KELLY ANNE PENDER LMT
NPI 1205646015
Massage Therapist in Jersey City, NJ

Active since January 13, 2025
30 PROVOST ST, JERSEY CITY, NJ 07302(551) 689-0763 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Anne Pender Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANNE PENDER LMT (NPI 1205646015) is an individual massage therapist in Jersey City, New Jersey, licensed in New Jersey (18KT01012100) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1205646015
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameKELLY ANNE PENDERCredential: LMT
Location Address30 PROVOST STJersey City, NJ 07302-5866
Mailing Address556 Ridge StNewark, NJ 07104-1514 · (551) 689-0059
Phone(551) 689-0763
Sole ProprietorNo
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1205646015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NJ · 18KT01012100
Definition
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.
30 PROVOST ST, Jersey City, NJ 07302
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Pender's NPI number?

The NPI number for Kelly Pender is 1205646015. It was assigned to this individual provider in the NPPES registry on January 13, 2025.

Where is Kelly Pender located?

Kelly Pender practices at 30 Provost St, Jersey City, NJ 07302. The listed phone number is (551) 689-0763.

What is Kelly Pender's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Kelly Pender was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.