Janet McAvoy Penner, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

06004702A Issued in IN

Practice address

6100 Miller Ave
Gary, IN 46403-2469

Phone

(219) 427-0196

NPI assigned

Jul 14, 2014

Last updated

Jul 14, 2014By the provider in NPPES

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

Practice roles

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.

• Next Level Therapeutic Services LLP

  • Physical Therapist
  • Gary, IN
  • NPI 1609068808
  NPD (past)
• Restore Therapy Services LLC

  • Occupational Therapist
  • Gary, IN
  • NPI 1932494424
  NPD (past)

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1841607769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 NORCROSS DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463830705",
            "telephone_number": "219-464-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 MILLER AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464032469",
            "telephone_number": "219-427-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNER",
        "first_name": "JANET",
        "middle_name": "MCAVOY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06004702A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulette Faye Patterson, RN
• Sanadah Marie Patterson
• Paul L. Hannah, M.D. , M.S. LTD
• Pediatric, Infant & Family Home Health Care Specialists, Inc
• Pediatrics After Hours, LLC
• Tony Pernell Jr.
• Jamel Peterson
• Theresa Lynn Petruska, MSW, LSW
• Henry Pettigrew, CADAC II
• Verlilia Ann Pettigrew, LSW, MSW

• Physical Therapy Assistant in Gary, IN
• Providers in Gary, IN by specialty
• Physical Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.