Carlo T Penaranda, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4617 Issued in FL

Practice address

6150 Diamond Centre CT
Suite 100
Fort Myers, FL 33912-4365

Phone

(239) 768-6396

Fax

(239) 763-1676

NPI assigned

Mar 24, 2009

Sex

Male

Sole proprietor

Yes

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

Merit-based Incentive Payment System (MIPS)

Final score

60.29 of 100Reported as group

Quality

35.5

Improvement activities

40

Cost

53.62

Merit-based Incentive Payment System (MIPS)

Final score

64.42 of 100Reported as group

Quality

38.39

Improvement activities

40

Cost

63.53

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1699917542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12090 METRO PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339668365",
            "telephone_number": "239-768-6396",
            "fax_number": "239-768-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 DIAMOND CENTRE CT",
            "address_2": "SUITE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124365",
            "telephone_number": "239-768-6396",
            "fax_number": "239-763-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENARANDA",
        "first_name": "CARLO",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-24",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT4617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marileydi Pena-Pineda
• Emilio Miguel Pena, MD
• Yamelly E Pena, MA
• Janislay Penalver
• Edgar Comson Penano, P.T.
• Dexter Penaranda
• Alexander M Pendino, D.O.
• Sharica Pennington
• Jeffrey Aaron Pennock I, OTR
• Kevin Matthew Pennycook, DO

• Physical Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.