BRENT MICHAEL PENNELLY (NPI# 1164868873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164868873 |
| Entity Type | Individual |
| Full Name | BRENT MICHAEL PENNELLY |
| Credential | MD |
| Practice Address |
345 S Halcyon Rd Arroyo Grande CA 93420 |
| Mailing Address |
Po Box 324 Danville CA 94526-0324 |
| Practice Telephone | 8054894261 |
| Mailing Telephone | 9258204230 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2018-05-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | A153934 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
345 S HALCYON RD |
| City | ARROYO GRANDE |
| State | CA |
| Zip Code | 93420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487640470 | Andrew D Sun | Anesthesiology | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3896 | 2005-09-23 |
| 1558983510 | Elizabeth Henrichs | Occupational Therapist | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2020-05-13 |
| 1023630514 | Excellence In Rehabilitation Medical Group Inc | Physical Medicine & Rehabilitation | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3899 | 2020-05-07 |
| 1881257608 | Angel Charissa Evans | Social Worker | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2019-04-17 |
| 1306334719 | Knd Development 59, LLC | Hospitalist | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2018-05-01 |
| 1871039909 | Stephanie Pulikkottil Joseph M.d. Medical Corporation | Physical Medicine & Rehabilitation | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2017-01-12 |
| 1427409929 | Larry Foreman, Do | Emergency Medicine | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2016-06-27 |
| 1386058030 | Sharon Peach Corporation | Specialist | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2014-06-19 |
| 1619395720 | Wellness & Rehabilitation Medicine, Inc. | Physical Medicine & Rehabilitation | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2014-04-04 |
| 1942540497 | Affiliated Pathologists of The Central Coast | Pathology | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2013-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337174 | Element Nutrition Company, LLC | Dietitian, Registered | 405 E. Branch St. #102, Arroyo Grande, CA 93420 | 2020-02-06 |
| 1861965055 | Pacific Central Coast Health Centers | Clinic/Center | 850 Fair Oaks Ave Ste 310, Arroyo Grande, CA 93420 | 2019-01-10 |
| 1629552815 | Leanne Marie Ford | Physician Assistant | 536 Camino Mercado, Arroyo Grande, CA 93420 | 2018-09-24 |
| 1730662107 | Kelli Thompson Hamma | Massage Therapist | 630 Lancaster Dr, Arroyo Grande, CA 93420 | 2018-09-12 |
| 1063962595 | Suzanne Erickson | Social Worker | 2820 Poquito Place, Arroyo Grande, CA 93420 | 2016-10-07 |
| 1255888459 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2119 Lopez Dr, Arroyo Grande, CA 93420 | 2016-09-06 |
| 1225585664 | Tikva Treatment | Substance Abuse Rehabilitation Facility | 170 Nelson Street, Suite 102, Arroyo Grande, CA 93420 | 2016-09-01 |
| 1831541986 | Tikva Treatment LLC | Clinic/Center | 621 E Grande Ave, Arroyo Grande, CA 93420 | 2016-07-12 |
| 1255788543 | David E. Yocum, M.d., A Medical Corporation | Internal Medicine | 860 Oak Park Blvd., #204, Arroyo Grande, CA 93420 | 2016-05-17 |
| 1689059800 | David Hikaru Lindsey | Dentist | 203 Station Way, Arroyo Grande, CA 93420 | 2015-07-29 |
| Find all providers in zip 93420 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630514 | Excellence In Rehabilitation Medical Group Inc | Physical Medicine & Rehabilitation | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3899 | 2020-05-07 |
| 1871039909 | Stephanie Pulikkottil Joseph M.d. Medical Corporation | Physical Medicine & Rehabilitation | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2017-01-12 |
| 1619395720 | Wellness & Rehabilitation Medicine, Inc. | Physical Medicine & Rehabilitation | 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 | 2014-04-04 |
| 1912195603 | Valerie Anne Jones | Physical Medicine & Rehabilitation | 850 Fair Oaks Ave Ste 100, Arroyo Grande, CA 93420 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154730 | Drew Matthew Lemay | Physical Medicine & Rehabilitation | 2501 S El Camino Real, San Clemente, CA 92672-3350 | 2020-11-03 |
| 1821698325 | Karen Pena | Physical Medicine & Rehabilitation | 930 S Mount Vernon Ave, Grand Terrace, CA 92324-3928 | 2020-10-26 |
| 1104423052 | Prehab LLC | Physical Medicine & Rehabilitation | 10405 Sd Mssn Rd Ste 103105, San Diego, CA 92108-2102 | 2020-10-05 |
| 1699381517 | Paige Lauren Stephens | Physical Medicine & Rehabilitation | 6961 Los Amigos Cir, Huntington Beach, CA 92647-6659 | 2020-09-16 |
| 1740895788 | Rebecca Niamtu | Physical Medicine & Rehabilitation | 364 S Cloverdale Ave, Los Angeles, CA 90036-3478 | 2020-09-15 |
| 1245845296 | Brianna Brooskin | Physical Medicine & Rehabilitation | 2850 Adrian St Apt 102, San Diego, CA 92110-5700 | 2020-09-15 |
| 1366057622 | Jaime Lyn Kelley | Physical Medicine & Rehabilitation | 10213 Tillicum Way, Nevada City, CA 95959-2019 | 2020-09-14 |
| 1346853868 | Edwin Castillo | Physical Medicine & Rehabilitation | 767 Freeman Ave Apt 3, Long Beach, CA 90804-4988 | 2020-08-25 |
| 1225640675 | Hema Kamal | Physical Medicine & Rehabilitation | 1049 El Monte Ave, Mountain View, CA 94040-2398 | 2020-08-18 |
| 1760094338 | Bayhealth Connect LLC | Physical Medicine & Rehabilitation | 30 Union Ave Ste 210, Campbell, CA 95008-3162 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | ARROYO GRANDE |
| Zip Code | 93420 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.