Mercedes Jade Pennebaker

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0015205 Issued in DE

Practice address

540 S College Ave Ste 160
Newark, DE 19713-1302

Phone

(302) 831-3000

NPI assigned

Jul 13, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Sadie Jade Pennebaker Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2026

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ud Health LLCGroup PAC ID 6204209034, shared by 2 NPIs, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376462655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 215TH LN NW",
            "city": "OAK GROVE",
            "state": "MN",
            "postal_code": "550119196",
            "telephone_number": "763-438-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S COLLEGE AVE STE 160",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131302",
            "telephone_number": "302-831-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNEBAKER",
        "first_name": "MERCEDES",
        "middle_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0015205",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "DE",
            "license": "J1-0015205",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SADIE",
            "last_name": "PENNEBAKER",
            "middle_name": "JADE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Manogna Pendyala, MD
• Peninsula Endoscopy Center
• Emily Penman, M.D,
• Bonita E. Penn, FNP-C
• Tiffany Crystal Penn, MSN, RN CRNP
• Mark Anthony Penta, PA-C
• Drew Pento, PA-C
• Karen E. Penzone, MD
• Amanda Rose Peraino, CGC
• Juliana Perno

• Physical Therapist in Newark, DE
• Providers in Newark, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.