Kathleen A Pennock (NPI# 1275572661, PAC ID# 0547279556) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1275572661 |
PAC ID by PECOS | 0547279556 |
Professional Enrollment ID | I20060419000145 |
Full Name | Kathleen A Pennock |
Organization Legal Name | TIDEWATER PHYSICAL THERAPY LLC |
Address |
227 Wadsworth Dr North Chesterfield VA 23236-4510 |
Phone Number | 8043237874 |
Gender | F |
Credential | PT |
Graduation Year | 2000 |
Primary Specialty | PHYSICAL THERAPY |
Group Practice PAC ID | 6406759281 |
Number of Group Practice Members | 170 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
12494 Warwick Blvd, Newport News, VA 23606-3000 | 7575995551 | TIDEWATER PHYSICAL THERAPY LLC |
227 Wadsworth Dr, North Chesterfield, VA 23236-4510 | 8043237874 | TIDEWATER PHYSICAL THERAPY LLC |
2040 John Rolfe Pkwy, Richmond, VA 23238-8111 | 8047540916 | TIDEWATER PHYSICAL THERAPY LLC |
Organization Legal Name | TIDEWATER PHYSICAL THERAPY LLC |
Physicians | 192 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melissa Bauerle | Physical Therapy | Tidewater Physical Therapy LLC | 1149 Jefferson Davis Hwy, Fredericksburg, VA 22401-4413 |
Melanie Gilbert | Physical Therapy | Tidewater Physical Therapy LLC | 6161 Kempsville Cir, Suite 250, Norfolk, VA 23502-3950 |
Matthew Shane Harville | Physical Therapy | Tidewater Physical Therapy LLC | 4831 S Laburnum Ave, Richmond, VA 23231-2713 |
Heather Ann Barlow | Physical Therapy | Tidewater Physical Therapy LLC | 77 Market St, Suite B, Palmyra, VA 22963-4687 |
Courtney Marie Wilt | Physical Therapy | Tidewater Physical Therapy LLC | 4214 Fortuna Ctr Plz, Dumfries, VA 22025-1515 |
Anthony Vincent Delano | Physical Therapy | Tidewater Physical Therapy LLC | 9980 Brook Rd, Unit 16, Glen Allen, VA 23059-6501 |
Emily Aven | Physical Therapy | Tidewater Physical Therapy LLC | 4020 Raintree Rd, Suite D, Chesapeake, VA 23321-3749 |
Michael Eaton | Physical Therapy | Tidewater Physical Therapy LLC | 2033 Colonial Ave Sw, Suite 138, Roanoke, VA 24015-3210 |
Andrew White | Physical Therapy | Tidewater Physical Therapy LLC | 5801 Patterson Ave, Richmond, VA 23226-2536 |
Christopher Marchand | Physical Therapy | Tidewater Physical Therapy LLC | 751 J Clyde Morris Blvd, Newport News, VA 23601-1538 |
Street Address |
227 WADSWORTH DR |
City | NORTH CHESTERFIELD |
State | VA |
Zip | 23236-4510 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amy E Labadie | Physical Therapy | Tidewater Physical Therapy LLC | 227 Wadsworth Dr, North Chesterfield, VA 23236-4510 |
Emily N Mehrer | Physical Therapy | Tidewater Physical Therapy LLC | 227 Wadsworth Dr, North Chesterfield, VA 23236-4510 |
Kendall H. Smith | Physical Therapy | Tidewater Physical Therapy LLC | 227 Wadsworth Dr, North Chesterfield, VA 23236-4510 |
Alireza Abedi | Physical Therapy | Tidewater Physical Therapy, LLC | 227 Wadsworth Dr, Richmond, VA 23236-4510 |
Name | Specialty | Organization | Address |
---|---|---|---|
Britney N Chacey | Clinical Social Worker | 9409 Hull St Rd, D1, North Chesterfield, VA 23236-1200 | |
Dreamel Spady | Clinical Social Worker | 9409 Hull St Rd, Suite D1, North Chesterfield, VA 23236-1200 | |
Asena L Madison | Family Medicine | 9549 Amberdale Dr, North Chesterfield, VA 23236-1256 | |
Nina J Cox | Optometry | 9509 A Amberdale Dr, North Chesterfield, VA 23236-1256 | |
Janice Gibson Neale | Obstetrics/gynecology | John Randolph Ob Gyn LLC | 9460 Amberdale Dr D, North Chesterfield, VA 23236-1259 |
Kevin C Harrison | Internal Medicine | 9460 Amberdale Dr, C, Richmond, VA 23236-1259 | |
Martin F Wein | Psychologist, Clinical | 2602 Wicklow Loop, North Chesterfield, VA 23236-1363 | |
Douglas F Ambrose | Chiropractic | 535 Southlake Blvd, North Chesterfield, VA 23236-3042 | |
Nikole R Jiggetts | Clinical Social Worker | Replay Counseling Center LLC | 550 Southlake Blvd, North Chesterfield, VA 23236-3043 |
Annelise A Petry | Clinical Social Worker | 720 Moorefield Park Dr, Suite 204, North Chesterfield, VA 23236-3657 | |
Find all physicians in zip 23236 |
City | NORTH CHESTERFIELD |
Zip Code | 23236 |
Specialty | PHYSICAL THERAPY |
City + Specialty | NORTH CHESTERFIELD + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kathleen A Pennock.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.