Active NPI
Bambi S Penney, PT
- Physical Therapist
- Geneva, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070003064
- Practice address
- 2700 Keslinger Rd
Suite C
Geneva, IL 60134-4645 - Phone
- (630) 262-2633
- Fax
- (630) 262-2643
- NPI assigned
- Jun 19, 2006
- Last updated
- Mar 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070003064 | IL | Primary |
Addresses
Primary practice location
2700 Keslinger Rd
Suite C
Geneva, IL 60134-4645
Mailing address
1377 Motor Pkwy
Ste 307
Islandia, NY 11749-5258
Phone (630) 466-9240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70003064 | Other | IL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1605 W Wilson St
Suite 119
Batavia, IL 60510-2999
Phone (630) 777-3141
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
| Attentive Individualized Management Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Carla Thomas Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
1605 W Wilson St
Ste 119
Batavia, IL 60510
Phone (630) 389-7767
204 E Washington St
Clinton, IL 61727
Phone (217) 570-0225
5255 E Maryland St
Decatur, IL 62521
Phone (217) 864-1264
2700 Keslinger Rd
Ste C
Geneva, IL 60134
Phone (630) 262-2633
799 Central Ave
Ste 210
Highland Park, IL 60035
Phone (847) 681-8720
303 N 2nd St
Ste A
St Charles, IL 60174
Phone (331) 235-5024
330 Division Dr
Sugar Grove, IL 60554
Phone (630) 777-3141
38 S Main St
Apt A
Sugar Grove, IL 60554
Phone (630) 466-5866
1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Sugar Grove, IL
- NPI 1497244859
Physical Therapist
-
- Physical Therapist
- St Charles, IL
- NPI 1649811522
-
dba Axes Physical Therapy
- Physical Therapist
- Clinton, IL
- NPI 1376917187
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489622400000",
"number": "1841235116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MOTOR PKWY",
"address_2": "STE 307",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117495258",
"telephone_number": "630-466-9240",
"fax_number": "630-262-2643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 KESLINGER RD",
"address_2": "SUITE C",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344645",
"telephone_number": "630-262-2633",
"fax_number": "630-262-2643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENNEY",
"first_name": "BAMBI",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-19",
"last_updated": "2017-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070003064",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "70003064",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.