Penny L Patterson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1011823 Issued in TX

Practice address

4882 Hightech Dr
Tyler, TX 75703-2613

Phone

(903) 300-0234

Fax

(903) 630-9999

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 TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Texas Southwestern Medical School at Dallas, 1974

Medicare assignment

May accept Medicare assignment

Group practices

Obach Physical Therapy Clinic LLCGroup PAC ID 3375861420, 4 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.

• Obach Physical Therapy Clinic LLC

  • Physical Therapist
  • Bullard, TX
  • NPI 1912398348
  Medicare reassignment Care Compare group NPD
• Performancepro Sports Medicine and Rehabilitation

  • Durable Medical Equipment & Medical Supplies
  • Tyler, TX
  • NPI 1063663227
  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": "1716336000000",
    "number": "1760746184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4882 HIGHTECH DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032613",
            "telephone_number": "903-300-0234",
            "fax_number": "903-630-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4882 HIGHTECH DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032613",
            "telephone_number": "903-300-0234",
            "fax_number": "903-630-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "PENNY",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1011823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patriot Home Health LLC
• Dawn Electra Pattee, RPH
• Arnett Patterson
• Diana Gaddy Patterson, P.A.C
• Holly Walker Patterson, PNP
• Ryan Patterson, M.D.
• Pamela Patton
• Alan R Paul, MD
• Carrington Paul
• Kevin R Paul, MD

• Physical Therapist in Tyler, TX
• Providers in Tyler, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.