Active NPI
Sara Johanna Penno, M.S.
- Speech-Language Pathologist
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA20971
- Practice address
- 206 Ridgewood Ave
Brandon, FL 33510-4617 - Phone
- (813) 662-1060
- NPI assigned
- Jul 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA20971 | FL | Primary |
Addresses
Primary practice location
206 Ridgewood Ave
Brandon, FL 33510-4617
Mailing address
3002 W Cleveland St Unit D10
Tampa, FL 33609-3182
Phone (262) 323-4434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10158 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | WebPT | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA20971 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressable Speech-Language Pathology, P.C. | Speech-Language Pathologist | Current | Accepting new patients |
| Expressable Therapy PC | Speech-Language Pathologist | Current | Accepting new patients |
| Pediatric Therapy Services Inc | Speech-Language Pathologist | Past | Accepting new patients |
| Pediatric Therapy Services, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Locations
633 W 5th St
Ofc 2876B
Los Angeles, CA 90071
111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257
5555 Glenridge Connector
Sandy Springs, GA 30342
Phone (202) 276-9478
5555 Glenridge Connector
Ste 200
Sandy Springs, GA 30342
Phone (404) 459-2516
7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880
7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503
Organizations & group practices 4
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.
-
- Speech-Language Pathologist
- Austin, TX
- NPI 1649875857
FL
-
- Clinic/Center
- Lakeland, FL
- NPI 1407834021
Speech-Language Pathologist
-
- Clinic/Center
- Brandon, FL
- NPI 1871769349
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1124698022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3002 W CLEVELAND ST UNIT D10",
"city": "TAMPA",
"state": "FL",
"postal_code": "336093182",
"telephone_number": "262-323-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 RIDGEWOOD AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335104617",
"telephone_number": "813-662-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNO",
"first_name": "SARA",
"middle_name": "JOHANNA",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-01",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA20971",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10158",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "WebPT",
"affiliation": "N",
"endpointDescription": "EMR System",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Website",
"address_1": "206 Ridgewood Ave",
"city": "Brandon",
"state": "FL",
"country_code": "US",
"postal_code": "335104617",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.