Kathleen Pennock in Glen Allen - Physical Therapist
Kathleen Pennock - NPI 1275572661
Kathleen Pennock is a Physical Therapist in Glen Allen, Virginia. Kathleen Pennock practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Kathleen Pennock is 1275572661. The last update date is 2018-11-29.
Kathleen Pennock's current location address is 10128 W Broad St Bldg Iii, Glen Allen, Virginia. You can contact this provider via phone number 8042179210 and fax number 8042179213. The mailing address for Kathleen Pennock is 10128 W Broad St Bldg Iii, Glen Allen, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen Pennock |
|---|---|
| Address | 10128 W Broad St Bldg Iii, Glen Allen, Virginia |
| Phone Number | 8042179210 |
| Fax Number | 8042179213 |
| Sole Proprietor | N |
| Credentials | MS, PT |
NPI Number Detail
| NPI Number | 1275572661 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2018-11-29 |
Provider Mailing Address Detail
| Address | 10128 W Broad St Bldg Iii |
|---|---|
| City | Glen Allen |
| State | Virginia (VA) |
| Post Code | 230606761 |
| Phone Number | 8042179210 |
| Fax Number | 8042179213 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 2305202695 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 540885859 | VA | CORVEL | |
| 258462 | VA | SOUTHERN HEALTH | |
| 98999 | VA | OPTIMA HEALTH | |
| 540885859 | VA | FOCUS | |
| 540885859 | VA | VIRGINIA HEALTH NETWORK | |
| 540885859 | VA | MULTIPLAN | |
| 540885859 | VA | PRIVATE HEALTHCARE SYSTEM | |
| 540885859 | VA | COMPMANAGEMENT | |
| 10206626 | VA | -- | |
| 192289 | VA | ANTHEM HANOVER PT |
Post Comment/ Review Below
What is the unique identifier code issued to Kathleen Pennock by the Centers for Medicare & Medicaid Services (CMS)?
The Kathleen Pennock has been assigned the NPI (National Provider Identifier) 1275572661. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Kathleen Pennock located?
The Kathleen Pennock is located at 10128 W Broad St Bldg Iii, Glen Allen, VA 230606761.
What is Kathleen Pennock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kathleen Pennock is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.
On what date did the Kathleen Pennock receive its 1275572661 assignment from the Centers for Medicare & Medicaid Services?
The Kathleen Pennock was assigned its 1275572661 by the Centers for Medicare & Medicaid Services on 2006-06-04.
When was the Kathleen Pennock's information last updated?
The Kathleen Pennock's information was last updated on 2018-11-29.