Individual provider Active NPI

Laura Penton, PT, DPT

  • Physical Medicine & Rehabilitation Physician
  • Homestead, FL
National Provider Identifier
1750113254
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT42050 Issued in FL
Practice address
1408 NE 1St Ave
Homestead, FL 33030-4535
Phone
(305) 242-1399
Fax
(305) 242-9442
NPI assigned
Aug 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT42050 FL Primary

Addresses

Primary practice location

1408 NE 1St Ave
Homestead, FL 33030-4535

Mailing address

18941 SW 89TH CT
Cutler Bay, FL 33157-7104
Phone (786) 450-4877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT42050FLMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1750113254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18941 SW 89TH CT",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577104",
            "telephone_number": "786-450-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 NE 1ST AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304535",
            "telephone_number": "305-242-1399",
            "fax_number": "305-242-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENTON",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT42050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.