KATHLEEN PENNOCK (NPI# 1275572661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275572661 |
| Entity Type | Individual |
| Full Name | KATHLEEN PENNOCK |
| Other Name | KATHLEEN TAIBE |
| Credential | MS, PT |
| Practice Address |
10128 W Broad St Bldg IIi Glen Allen VA 23060-6761 |
| Practice Telephone | 8042179210 |
| Practice Fax Number | 8042179213 |
| Mailing Telephone | 8042179210 |
| Mailing Fax Number | 8042179213 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2018-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2305202695 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
2305202695 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | FOCUS | 540885859 | 01 |
| VA | ANTHEM HANOVER PT | 192289 | 01 |
| VA | FIRST HEALTH/CCN | 540885859 | 01 |
| VA | MULTIPLAN | 540885859 | 01 |
| VA | VIRGINIA HEALTH NETWORK | 540885859 | 01 |
| VA | OPTIMA HEALTH | 98999 | 01 |
| VA | 010206626 | 05 | |
| VA | C&O EMPLOYEE'S HEALTHCARE | 540885859 | 01 |
| VA | PRIVATE HEALTHCARE SYSTEM | 540885859 | 01 |
| VA | COMPMANAGEMENT | 540885859 | 01 |
| VA | SOUTHERN HEALTH | 258462 | 01 |
| VA | CORVEL | 540885859 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8266 Atlee Rd, Suite 133pt, Mechanicsville, VA 231161804 | 8045691665 | 8045691628 |
| Street Address |
10128 W BROAD ST BLDG III |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23060-6761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225090350 | Jason M Bridges | Physical Therapist | 10128 W Broad St Bldg IIi, Glen Allen, VA 23060-6761 | 2006-04-04 |
| 1992221816 | Teri L. Draper | Physical Therapist | 10128 W Broad St Bldg IIi, Glen Allen, VA 23060-6761 | 2017-08-22 |
| 1326498163 | Joshua S Lee | Physical Therapist | 10128 W Broad St Bldg IIi, Glen Allen, VA 23060-6761 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469715 | Romy Sharieff | Midwife | 10433 Mountain Glen Pkwy, Glen Allen, VA 23060 | 2020-02-13 |
| 1366934549 | Guillermo Del Campo | Optometrist | 4114 Innslake Drive, Glen Allen, VA 23060 | 2018-06-04 |
| 1871013771 | Wecare Medical Transportation Inc. | Driver | 10524 Boscastle Rd, Glen Allen, VA 23060 | 2017-06-21 |
| 1265889570 | Darchelle Braxton Dmd PC | Dentist | 4300 Pouncey Tract Road Suite I, Glen Allen, VA 23060 | 2016-05-17 |
| 1952714842 | Gaynier Orthodontics PC | Clinic/Center | 4701 Cox Rx Ste 285, C/o Ct Corporation, Glen Allen, VA 23060 | 2014-06-09 |
| 1538507819 | Rca Laboratory Services, LLC | Clinical Medical Laboratory | 4060 Innslake Dr, Glen Allen, VA 23060 | 2013-06-10 |
| 1922352772 | Samantha S Stone | Physical Therapist | 4101 Cox Rd Ste 100, Glen Allen, VA 23060 | 2012-11-01 |
| 1609123660 | Stephanie Rene Matsko | Optometrist | 4114 Innslake Dr., Glen Allen, VA 23060 | 2012-08-09 |
| 1851661367 | Lateaka Sheri Vinson | Speech-Language Pathologist | 2250 Old Brick Rd, Suite 2229, Glen Allen, VA 23060 | 2012-01-01 |
| 1568774271 | Cynthia A Koza | Optometrist | 4600 Cox Road, Suite 120, Glen Allen, VA 23060 | 2010-07-10 |
| Find all providers in zip 23060 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528683968 | Lauren Gough | Physical Therapist | 9980 Brook Rd # 16a, Glen Allen, VA 23059-6501 | 2020-06-11 |
| 1649810144 | Meredith Bowden | Physical Therapist | 4900 Dominion Blvd Ste B, Glen Allen, VA 23060-6773 | 2020-01-13 |
| 1467018556 | Prathyusha Gogineni | Physical Therapist | 11442 Abbots Cross Ln, Glen Allen, VA 23059-1103 | 2019-05-14 |
| 1215404496 | Heba Momin | Physical Therapist | 5050 Willows Green Rd, Glen Allen, VA 23059-5686 | 2018-10-25 |
| 1861918674 | Samantha Lynn Dealto | Physical Therapist | 5300 Hickory Park Dr Ste 110, Glen Allen, VA 23059-2629 | 2017-08-15 |
| 1366965923 | Jessica Lauren Napoleon | Physical Therapist | 4101 Cox Rd Ste 301, Glen Allen, VA 23060-3320 | 2017-07-25 |
| 1821522665 | Tanya Virani | Physical Therapist | 11612 Olde Covington Way, Glen Allen, VA 23059-5698 | 2017-04-19 |
| 1255728929 | Juee Shah | Physical Therapist | 2916 Ridgegate Pl, Glen Allen, VA 23059-4682 | 2015-04-21 |
| 1588058390 | Courtney Jones | Physical Therapist | 5252 Scotsglen Dr, Glen Allen, VA 23059-5533 | 2015-03-19 |
| 1285973669 | Paul S Palmieri | Physical Therapist | 6208 Isleworth Dr, Glen Allen, VA 23059-5426 | 2013-02-05 |
| Find all providers in GLEN ALLEN | ||||
| City | GLEN ALLEN |
| Zip Code | 23060 |
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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.