Penny E Harkey, PT, MSPT, IMC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT 24039 Issued in FL

Practice address

2730 Isabella Blvd
Suite 10
Jacksonville Beach, FL 32250-8001

Phone

(904) 372-4070

NPI assigned

Dec 13, 2006

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 identifiers 3

Other names 1

• Penny E Pickels Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Coastal Therapy & Learning Center, Inc.

  • Occupational Therapist
  • Jacksonville Beach, FL
  • NPI 1184711053

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1477614378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13738 WEEPING WILLOW WAY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322246899",
            "telephone_number": "904-607-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 ISABELLA BLVD",
            "address_2": "SUITE 10",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322508001",
            "telephone_number": "904-372-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARKEY",
        "first_name": "PENNY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PT, MSPT, IMC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007503",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "FL",
            "license": "PT 24039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000954742H",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000149200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000954742F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENNY",
            "last_name": "PICKELS",
            "middle_name": "E",
            "credential": "PT, MSPT, IMC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Jessica Renee Hansen, MSW
• Deborah Hardman, LCSW
• Tiffany Nicole Hardmon, PA
• Grace Hardy, ITDS
• Harmonious Bliss Life Coaching & Bodywork LLC (Harmonious Bliss Medical Massage)
• Nathan Matthew Harper, DDS
• Brooke Harris, OTD, OTR/L
• Michelle Harrison, M.A.
• Rick Kenneth Harrison, DMD

• Pediatric Physical Therapist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Pediatric Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.