Tina Lorice Penny

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

20546 Issued in MD

Practice address

2670 Crain Hwy
Waldorf, MD 20601-2806

Phone

(301) 632-2185

NPI assigned

Jun 29, 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

Enrolled in DC, MD2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proflex Physical Therapy of Maryland, LLCGroup PAC ID 7416244322, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Proflex Physical Therapy of Maryland, LLC.

  • Physical Medicine & Rehabilitation Physician
  • Waldorf, MD
  • NPI 1558714824

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Absolute Physical Therapy, LLC

  • Physical Therapist
  • Waldorf, MD
  • NPI 1548539406
  Medicare reassignment NPD
• JL3 Enterprises LLC

  • Physical Therapist
  • Bowie, MD
  • NPI 1154077386

  DC

  Medicare reassignment NPD
• Proflex Physical Thearpy of Maryland, LLC

  • Physical Medicine & Rehabilitation Physician
  • Stafford, VA
  • NPI 1700763851
  NPD
• Absolute Rehabilitative Therapy, Inc

  • Physical Therapist
  • Lanham, MD
  • NPI 1770721383
  NPD (past)

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1750645149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012806",
            "telephone_number": "301-632-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012806",
            "telephone_number": "301-632-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNY",
        "first_name": "TINA",
        "middle_name": "LORICE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "20546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Speech Lab
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• Pembrooke Health Services LLC
• Pembrooke Square ENT Associates, LLC
• Pembrooke Square Surgery Center, LLC
• Alyssa Peppins
• Tiffany Perry-Wilson, PHD, LPC, LCPC, NCC
• Alexandra Perry
• Sarah Catherine Persinger, RN
• Personalized Therapy, LLC

• Physical Therapist in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.