Angelica Pena, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2156762 Issued in TX

Practice address

2308 Highway 121
Bedford, TX 76021-5903

Phone

(817) 571-0000

NPI assigned

Aug 21, 2024

Sex

Female

Sole proprietor

Yes

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": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1144053588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 URBANA PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794074319",
            "telephone_number": "210-385-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 HIGHWAY 121",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215903",
            "telephone_number": "817-571-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "ANGELICA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2156762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Pchinow, PTA
• Julie L Pearson, PA
• Pediatric Smiles P.a.
• Jeff Peebles, MD
• Susan Yvonne Pelletier
• Douglas Pena
• Blanche Penaredondo, LPC-ASSOCIATE
• Lisa Perez, BA
• Perla Dental of Bedford
• Kelly Marlene Persons, CRNFA

• Physical Therapy Assistant in Bedford, TX
• Providers in Bedford, 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 Aug 21, 2024; 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.