Estrella Jane A. Pena, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10723 Issued in FL

Practice address

Penney Farms 3 Pavillion Place 3495 Hoffman St
Green Cove Springs, FL 32043

Phone

(904) 284-8200

NPI assigned

Feb 14, 2022

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

Other names 1

• Jane Pena Other 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": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1336894930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 BELLSHIRE DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652220",
            "telephone_number": "904-476-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PENNEY FARMS 3 PAVILLION PLACE 3495 HOFFMAN ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "32043",
            "telephone_number": "904-284-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "ESTRELLA JANE",
        "middle_name": "A.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "10723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "PENA",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachel Nieves, RN, IBCLC
• Oak Street Opco LLC (Aviata at Green Cove Springs)
• Oak Terrace Health Care Associates LLC (Governor's Creek Health and Rehabilitation)
• Breonna Oxendine, RPH
• Karen Patterson
• Ashley F Perez
• Ryan Ciro Perretti
• Gina Perrone, ACA, BC-HIS
• Amy Phan
• Pinnacle Wellness Healthcare Services

• Physical Therapist in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.