Daniel Pena, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2123120 Issued in TX

Practice address

495 Amelia Earhart Dr
Brownsville, TX 78521-5716

Phone

(956) 546-7777

Fax

(956) 546-8899

NPI assigned

Jul 22, 2016

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": "1469145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1083067243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 CHAPA ST",
            "city": "ROBSTOWN",
            "state": "TX",
            "postal_code": "783802129",
            "telephone_number": "361-737-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 AMELIA EARHART DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785215716",
            "telephone_number": "956-546-7777",
            "fax_number": "956-546-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "DANIEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2123120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Manuel Yzaguirre Jr
• Peek & Saldivar, LLC
• Pele Enterprizez, LLC
• Arnaldo Michael Pena, BCBA
• Corina Elizabeth Pena
• Herlinda Pena
• Myra Alejandra Pena
• Nancy Pena
• Sonia Paulina Pena
• Yudaisy E Pena, LVN

• Physical Therapy Assistant in Brownsville, TX
• Providers in Brownsville, 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 Jul 22, 2016; 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.