Albert Pena Jr.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2097549 Issued in TX

Practice address

721 W Mulberry St
Angleton, TX 77515-4239

Phone

(979) 849-4875

NPI assigned

Apr 25, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1073048211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 PURSLEY DR",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775154014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W MULBERRY ST",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775154239",
            "telephone_number": "979-849-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "ALBERT",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2097549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Spencer Pangan, DC
• Paul H. Wells & Associates, Mdpa
• Thomas Anthony Paver III, OTR/L
• Teresa Peck, O.D.
• Jihad Augusta Peery
• Kelly Brook Pennington, PTA
• Andres A. Perez, D.C.
• Keith Wade Pesnell, P.T.
• Samantha Willette Pettit-Murrell
• Brenda A. Pickhardt, CNM

• Physical Therapy Assistant in Angleton, TX
• Providers in Angleton, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.