Penny Killilea, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3877 Issued in OH

Practice address

417 Hill Rd N
Pickerington, OH 43147-1310

Phone

(614) 788-5181

NPI assigned

Aug 16, 2018

Sex

Female

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": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1265912539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 WHITE PATH ST",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430628651",
            "telephone_number": "740-739-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471310",
            "telephone_number": "614-788-5181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Refugee Rd",
            "address_purpose": "LOCATION",
            "city": "Pickerington",
            "state": "OH",
            "postal_code": "431479653",
            "country_code": "US",
            "telephone_number": "614-788-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILLILEA",
        "first_name": "PENNY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "3877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sterling Anthony Kerr
• Jordan Andrew Kerscher, DPT
• Kgsolutiontrans
• Evelyn Khammanh
• McKenzie Faith Kilkenny
• Scott Andrew Kimmins, RPH
• Kind Hearts Home Health Care
• Kindnest LLC
• Kindred Nursing Centers East LLC
• Allison King

• Physical Therapy Assistant in Pickerington, OH
• Providers in Pickerington, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.