Anthony M. Pena, CHT, OT, LPN

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31002522A Issued in IN

Practice address

2312 S Dixon Rd
Suite 250
Kokomo, IN 46902-6401

Phone

(765) 455-2122

Fax

(765) 455-3122

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Therapy CorpGroup PAC ID 8224370242, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elite Therapy Corp

  • Physical Therapist
  • Kokomo, IN
  • NPI 1235693300
  Medicare reassignment Care Compare group
• Elite Therapy Corp

  • Rehabilitation Clinic/Center
  • Lafayette, IN
  • NPI 1306493119
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013019819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 S DIXON RD",
            "address_2": "SUITE 250",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026401",
            "telephone_number": "765-455-2122",
            "fax_number": "765-455-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 S DIXON RD",
            "address_2": "SUITE 250",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026401",
            "telephone_number": "765-455-2122",
            "fax_number": "765-455-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "ANTHONY",
        "middle_name": "M.",
        "credential": "CHT, OT, LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31002522A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agatha Cristy Pedro, OTR
• Willis W Peelle, MD
• Mary Z Peers, MD
• Ferdinand Wesley Peik, DDS
• Caleb James Pemberton, FNP-C
• Rayaija Peoples, RBT
• Candace Nicole Perez
• Emma Lynn Perez
• Perio Plastic & Implantology Center of Kokomo
• Charlotte J Perkins

• Occupational Therapist in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.