Joseph Charles Penell III, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30699 Issued in FL

Practice address

3334 Capital Medical Blvd
Tallahassee, FL 32308-8405

Phone

(850) 210-1808

NPI assigned

Jan 30, 2024

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": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739059200000",
    "number": "1245092691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6437 STONE STREET TRL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092325",
            "telephone_number": "850-321-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088405",
            "telephone_number": "850-210-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENELL",
        "first_name": "JOSEPH",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-30",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Pellegrino, M.A. CCC-SLP
• Jeniffer M Pelletier, CRNA
• Michelle Strutzel Pellito, MT-BC
• Brenda Peltz, OTR/L
• Victoria Isabel Penaloza
• Ivanna Rebecca Pengelley
• Sabrena R Penney, NP-C
• George Patton Pennington II
• Katelyn Pentz, RRT
• Nora April Pepper, MD

• Physical Therapy Assistant in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2025; 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.