Lisa Penta, PTA

Primary specialty

ContractorTaxonomy code 171W00000X

License

FLPTA19122 Issued in FL

Practice address

1981 Byram Dr
Clearwater, FL 33755-1548

Phone

(727) 242-4336

NPI assigned

Jul 21, 2011

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

Other names 1

• Lisa Penta Professional name

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": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1265720445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1981 BYRAM DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337551548",
            "telephone_number": "727-242-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 BYRAM DR",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337551548",
            "telephone_number": "727-242-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTA",
        "first_name": "LISA",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "FLPTA19122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PENTA",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Pembrook Place Alf, Inc.
• Edgar Pena, PTA
• Alyssa Penne
• Tamara Pennywell
• Brielle Penrose
• Jelena Peralta, MSN, APRN, AGACNP-BC
• Julitza Maria Peraza
• Gaetano Fernando Perego, M.D
• Sharde Pereira, CST
• Cecilia Perera

• Contractor in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Contractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.