Genevieve Roxanne Penland, MHS, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1885 Issued in SC

Practice address

3620 Covenant Rd
Columbia, SC 29204-4216

Phone

(803) 787-3033

Fax

(803) 787-0300

NPI assigned

Apr 4, 2016

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

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1821451022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 OTTER TRAIL CT",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292039284",
            "telephone_number": "803-269-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 COVENANT RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292044216",
            "telephone_number": "803-787-3033",
            "fax_number": "803-787-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENLAND",
        "first_name": "GENEVIEVE",
        "middle_name": "ROXANNE",
        "name_prefix": "Ms.",
        "credential": "MHS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "1885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer D Pender, M.D., M.P.H
• Jakayla Pendergrass, RBT
• Kimberly Nicole Pendergrass, M.A. CCC-SLP
• Shauna Briawn Pendergrass, M.R.C
• Ronald Francis Pendleton, DO
• Laquacia Penn, RBT
• Elliott John Penna, M.D.
• Frank John Penna III, M.D.
• Allison Pennington
• Evelynn Marie Pennington, NP-C

• Pediatric Occupational Therapist in Columbia, SC
• Providers in Columbia, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.