Phillip Lloyd Pennington, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A8475 Issued in NC

Practice address

2303 Wellington Dr SW Ste B
Wilson, NC 27893-8620

Phone

(252) 243-6818

NPI assigned

Nov 7, 2024

Last updated

Nov 7, 2024By the provider in NPPES

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Proactive Therapy of North Carolina Inc

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Wilson, NC
  • NPI 1477559771
  NPD
• Proactive Therapy of North Carolina Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Raleigh, NC
  • NPI 1689679433
  NPD (past)

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1427871318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SAINT ANNES RD",
            "city": "NASHVILLE",
            "state": "NC",
            "postal_code": "278567644",
            "telephone_number": "252-904-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 WELLINGTON DR SW STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938620",
            "telephone_number": "252-243-6818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 English Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278046023",
            "country_code": "US",
            "telephone_number": "252-443-6627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "PHILLIP",
        "middle_name": "LLOYD",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A8475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Stephen Pedigo, LCSW
• Christina Maria Peele
• Pelham Home Health Services, Inc. (Pelham Home Health)
• Archie Pender, LCAS-A
• Janice Pender, MS, LCASA
• Peppers Steppin Lifestyle Fitness
• Kyaun Peppers
• Paul A Perez-Navarro, M.D.
• Carol Pereznavarro
• Phillip Kerry Perkins, MD

• Physical Therapy Assistant in Wilson, NC
• Providers in Wilson, NC by specialty
• Physical Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.