Sheryl Anne Pentico, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P1 60474765 Issued in WA

Practice address

301 E Mountain View Ave
Ellensburg, WA 98926-3768

Phone

(509) 962-7386

Fax

(509) 925-8476

NPI assigned

Nov 8, 2014

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": "1415404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1982000584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 CLERF RD",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989269516",
            "telephone_number": "509-929-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MOUNTAIN VIEW AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263768",
            "telephone_number": "509-962-7386",
            "fax_number": "509-925-8476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "817 Pioneer Ave",
            "address_purpose": "LOCATION",
            "city": "Cashmere",
            "state": "WA",
            "postal_code": "988151235",
            "country_code": "US",
            "telephone_number": "509-782-1251",
            "fax_number": "509-782-4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENTICO",
        "first_name": "SHERYL",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-08",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P1 60474765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Patterson, ATC
• Janice M Paxton, PAC
• Patricia Peacock
• Miriam M Pease, RDH
• Thomas M Penoyar, M.D.
• Alexis Perez
• Victoria Anne Perkis, ARNP
• Micah Perrin
• Isaac Perry, ATC, LAT
• Christopher Peterson

• Physical Therapy Assistant in Ellensburg, WA
• Providers in Ellensburg, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.