Alyssa Pennington

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

3N390 Townhall Rd
Elburn, IL 60119-9493

Phone

(815) 757-2691

NPI assigned

Mar 18, 2025

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2025.

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1780484683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3N390 TOWNHALL RD",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601199493",
            "telephone_number": "815-757-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3N390 TOWNHALL RD",
            "city": "ELBURN",
            "state": "IL",
            "postal_code": "601199493",
            "telephone_number": "815-757-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orawin Technology
• Teodor Paraskevov
• Lazarina Kostova Paraskevova, CSA
• Heather R. Partoll, PTA
• Jaymin A Patel, PHARM. D.
• Joy Marie Powell, MSPT, CERT. MDT
• Prairie Valley Dental, P.C.
• Airianna Quintanilla, MS, LSW, CADC
• Andrea Rauch, PHARMD
• Karen Frances Rink, OTR/L

• All providers in Elburn, IL
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.