JESSICA PENZA (NPI# 1194159756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194159756 |
| Entity Type | Individual |
| Full Name | JESSICA PENZA |
| Credential | CCC-SLP |
| Practice Address |
10400 Roosevelt Blvd Philadelphia PA 19116-3905 |
| Mailing Address |
10816 Harrow Rd Philadelphia PA 19154-3914 |
| Practice Telephone | 8566281429 |
| Mailing Telephone | 8566281429 |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2013-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SL011550 | PA | Speech, Language and Hearing Service Providers |
| Street Address |
10400 ROOSEVELT BLVD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19116-3905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134103419 | St John Neumann Nursing Home | Skilled Nursing Facility | 10400 Roosevelt Blvd, Philadelphia, PA 19116-3905 | 2005-12-01 |
| 1104446590 | Laura Michele Rumble | Physical Therapy Assistant | 10400 Roosevelt Blvd, Philadelphia, PA 19116-3997 | 2020-04-26 |
| 1316450687 | Richard Stephen Meagher | Psychologist | 10400 Roosevelt Blvd, Philadelphia, PA 19116-3905 | 2017-11-09 |
| 1972902120 | Whitney Postman | Speech-Language Pathologist | 10400 Roosevelt Blvd, Philadelphia, PA 19116-3905 | 2014-08-13 |
| 1659789949 | 10400 Roosevelt Operating, LLC | Skilled Nursing Facility | 10400 Roosevelt Blvd, Philadelphia, PA 19116-3905 | 2014-07-30 |
| 1699107201 | Wieslaw Plonski | Physical Therapy Assistant | 10400 Roosevelt Blvd, Philadelphia, PA 19116-3905 | 2013-08-06 |
| 1649536673 | Sabrina Lauren Canilao | Physical Therapy Assistant | 10400 Roosevelt Blvd, Philadelphia, PA 19116-3905 | 2012-04-04 |
| 1881974038 | Soshi Samejima | Physical Therapist | 10400 Roosevelt Blvd, Philadelphia, PA 19116-3905 | 2011-08-19 |
| 1770894537 | Davida Lightsey | Speech-Language Pathologist | 10400 Roosevelt Blvd, Rehab Dept, Philadelphia, PA 19116-3905 | 2010-06-27 |
| 1043487473 | Ne Physician Services Inc | Family Medicine | 10400 Roosevelt Blvd, Philadelphia, PA 19116-3905 | 2008-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194334466 | Ambassador Home Care Services LLC | Homemaker | 118080 Bustleton Av, Suite 301, Philadelphia, PA 19116 | 2020-07-23 |
| 1669919445 | Lenore Pierce Bailey | Social Worker | 15100 Dahlia Drive, Philadelphia, PA 19116 | 2017-01-31 |
| 1477938991 | Jessica Gabriela Dashevsky | Counselor | 467 Parlin St, Philadelphia, PA 19116 | 2015-07-27 |
| 1174949697 | Absolute Therapy Care LLC | Physical Therapist | 10125 Verree Rd Ste 100, Philadelphia, PA 19116 | 2014-03-07 |
| 1790107936 | Philmont Homecare, LLC | Home Health | 14500 Bustleton Avenue, Suite 208, Philadelphia, PA 19116 | 2014-01-07 |
| 1417381609 | Able Ambulance Inc. | Ambulance | 1017 Haldeman Ave., Philadelphia, PA 19116 | 2013-08-25 |
| 1821356718 | Timur Kakhramanov | Nurse Practitioner | 301 W.byberry Rd, Unit F-6, Philadelphia, PA 19116 | 2012-04-27 |
| 1982975173 | Simon Perelshteyn | Internal Medicine | 10172 Verree Rd, Philadelphia, PA 19116 | 2012-01-19 |
| 1841574449 | Irene Feldman | Pharmacist | 10000 Busteloton Ave, Philadelphia, PA 19116 | 2011-10-03 |
| 1992095590 | Long Life Ambulance, LLC | Ambulance | 10065 Sandmeyer Lane, 103, Philadelphia, PA 19116 | 2011-04-15 |
| Find all providers in zip 19116 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696931 | Abigail Stern | Speech-Language Pathologist | 4827 Umbria St, Philadelphia, PA 19127-1916 | 2020-10-12 |
| 1750988754 | Jennifer M Lisberger | Speech-Language Pathologist | 130 N 2nd St Unit 2c, Philadelphia, PA 19106-4604 | 2020-10-04 |
| 1487261699 | Brooke Ashley Beechan | Speech-Language Pathologist | 1712 Green St Apt 4, Philadelphia, PA 19130-4132 | 2020-09-30 |
| 1841807245 | Jaclyn Isis Lisberger | Speech-Language Pathologist | 130 North 2nd Street-#2e, Philadelphia, PA 19106 | 2020-09-29 |
| 1164039616 | Alexandra Gallagher Slp | Speech-Language Pathologist | 1326 N Mascher St Unit E, Philadelphia, PA 19122-4630 | 2020-09-29 |
| 1245846872 | Brittany Mae Smolar | Speech-Language Pathologist | 1539 S Garnet St, Philadelphia, PA 19146-4627 | 2020-09-18 |
| 1063026904 | Katherine Mary Moran | Speech-Language Pathologist | 3327 Krail St, Philadelphia, PA 19129-1526 | 2020-09-08 |
| 1235749383 | Morgan Stanislaus | Speech-Language Pathologist | 633 W Rittenhouse St Apt B614, Philadelphia, PA 19144-4320 | 2020-08-04 |
| 1477163723 | Kimberly Lawlor | Speech-Language Pathologist | 657 N 22nd St, Philadelphia, PA 19130-3141 | 2020-08-02 |
| 1174141931 | Alyssa Delp | Speech-Language Pathologist | 1840 Torresdale Ave, Philadelphia, PA 19124-4418 | 2020-07-08 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19116 |
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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.