Active NPI
Bojana Penjevic, DPT
- Pediatric Physical Therapist
- Virginia Beach, VA
National Provider Identifier
1659151843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 2305216128
- Practice address
- 5604 Virginia Beach Blvd Ste 101
Virginia Beach, VA 23462-5631 - Phone
- (757) 455-5000
- NPI assigned
- Oct 4, 2023
- Last updated
- Oct 4, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 2305216128 | VA | Primary |
Addresses
Primary practice location
5604 Virginia Beach Blvd Ste 101
Virginia Beach, VA 23462-5631
Mailing address
4971 SW 94TH Ave
Cooper City, FL 33328-3410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JP Therapy, LLC | Current | Accepting new patients |
Locations
5604 Virginia Beach Blvd
Ste 101
Virginia Beach, VA 23462
Phone (757) 319-4142
Organizations & group practices 1
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.
-
- Physical Rehabilitation Occupational Therapist
- Virginia Beach, VA
- NPI 1851770598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1659151843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4971 SW 94TH AVE",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333283410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5604 VIRGINIA BEACH BLVD STE 101",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234625631",
"telephone_number": "757-455-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENJEVIC",
"first_name": "BOJANA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-04",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "VA",
"license": "2305216128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
- Ruth Marlene Pence, LCSW
- Gregory George Pendell, M.D.
- Kimberly Penerton, LPC
- Peninsula Institute for Community Health Inc (Virginia Beach Housing Resource Center Health Clinic)
- Peninsula Institute for Community Health Inc (Virginia Beach Family Medicine)
- Cassidy Elizabeth Penley, COTA
- Pennington Group Full Spectrum Services
- Alexis Ambrose Pennington, M.S., CCC-SLP
- Tracey O Pennington, M.D.,M.P.H.
- Peoples Behavioral Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.