Charles W. Penza, DC, PHD

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

CH9467 Issued in FL

Practice address

1405 W Colonial Dr Ste B
Orlando, FL 32804-7118

Phone

(407) 237-0915

NPI assigned

Feb 5, 2008

Last updated

Sep 28, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1942488606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W COLONIAL DR STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047118",
            "telephone_number": "407-237-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W COLONIAL DR STE B",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328047118",
            "telephone_number": "407-237-0915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4218 New Haven Ct",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321279266",
            "country_code": "US",
            "telephone_number": "310-866-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENZA",
        "first_name": "CHARLES",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DC, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-05",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "CH9467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aulecau Jacqueline Ann Penny
• Antoinlete Cheref Pennycooke, MA, LMHC
• Zaria Pennyman
• Tayla Louise Penovich, BCBA
• Morgan Pensiero, MOT, OTR/L
• People Expressing and Caring for Their Emotions, LLC (P.E.a.C.E.)
• People Matter Counseling Resource Center
• Peopleone Health Florida, LLC
• Peopleone Health Florida, LLC
• Peopleone Health Florida, LLC

• Rehabilitation Chiropractor in Orlando, FL
• Providers in Orlando, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.