Amanda M Pennington, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA58965 Issued in FL

Practice address

1409 Kingsley Ave
BLDG 3
Orange Park, FL 32073-4537

Phone

(904) 263-6222

NPI assigned

Mar 28, 2012

Sex

Female

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

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

• Therapyworks of Jacksonville Inc

  dba Thrive Therapy and Lymphedema Clinic

  • Occupational Therapist
  • Jacksonville, FL
  • NPI 1124274881

  Massage Therapist

  NPD (past)

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1720354319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 HENDRICKS AVE",
            "address_2": "SUITES 2 AND 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073303",
            "telephone_number": "904-348-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 KINGSLEY AVE",
            "address_2": "BLDG 3",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734537",
            "telephone_number": "904-263-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "AMANDA",
        "middle_name": "M",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA58965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Peltier, HHA
• Jessica Pember, RN, BSN, APRN, CNM
• Alexander Pena, PA-C, ATC
• Nathaniel L Pena, PT
• Linval Pennant
• James Harry Penrod, PH.D.
• Jesus Adalberto Perez Alers, MD
• Amy Ann Perez, RBT
• Maureen Perez, DPT
• Periodontal Specialists of North Florida (Modern Periodontics)

• Massage Therapist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.