Kari J Pendergrass, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

073722 Issued in IA

Practice address

4325 Williams Blvd SW
Cedar Rapids, IA 52404-3436

Phone

(319) 861-6900

Fax

(319) 861-6750

NPI assigned

Feb 5, 2026

Sex

Female

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": "1770249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1073464020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 WILLIAMS BLVD SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043436",
            "telephone_number": "319-861-6900",
            "fax_number": "319-861-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 WILLIAMS BLVD SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043436",
            "telephone_number": "319-861-6900",
            "fax_number": "319-861-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDERGRASS",
        "first_name": "KARI",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "073722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathalie Aurora Pena Polanco, M.D.
• Valerie Pena Polanco
• Jorge Pena, CADC
• Melissa Pence-Antcliff, LMT
• Cristina Marie Pence, SLP
• Karen Penick, LISW
• Rohan Penmetcha, DO
• Kimberly Penning, TCADC
• Valerie Joan Pennington, SLP
• Shannon Elise Perea, LMHC

• Physical Medicine & Rehabilitation Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Physical Medicine & Rehabilitation Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.