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Roberta Rae Pennington

Physical Therapist - Pediatrics

1120 Via Callejon Suite B
San Clemente , California 92673-6213

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Roberta Rae Pennington

Physical Therapist - Pediatrics

1120 Via Callejon Suite B
San Clemente , California 92673-6213

(949) 498-5100

Write a Review Save Call

Roberta Rae Pennington

Physical Therapist - Pediatrics

1120 Via Callejon Suite B
San Clemente , California 92673-6213

(949) 498-5100 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Therapist - Pediatrics

Languages spoken

  • English

Location

1120 Via Callejon Suite B San Clemente , California 92673-6213

First Address

  • Roberta Rae Pennington
  • 1120 Via Callejon Suite B
  • San Clemente, CA
  • Zip : 92673-6213
  • Phone : (949) 498-5100

Second Address

  • Roberta Rae Pennington
  • 1120 Via Callejon Suite B
  • San Clemente, CA
  • Zip : 92673-6213
  • Phone : (949) 498-5100

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FAQs


Where did Roberta Rae Pennington attend graduate school?

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Where did Roberta Rae Pennington do her residency?

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Where did Roberta Rae Pennington do her fellowship?

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Is Roberta Rae Pennington board certified?

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What type of doctor is Roberta Rae Pennington

Physical Therapist - Pediatrics

In what state does Roberta Rae Pennington practice in?

California

Where is Roberta Rae Pennington ’s practice located?

1120 Via Callejon Suite B , San Clemente, California, 92673-6213

What is Roberta Rae Pennington ’s gender?

Female

Is Roberta Rae Pennington a sole practitioner?

No

Is Roberta Rae Pennington accepting new patients?

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What languages does Roberta Rae Pennington speak?

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Does Roberta Rae Pennington accept insurance?

Yes, Roberta Rae Pennington accepts insurance

Does Roberta Rae Pennington offers telemedicine?

Roberta Rae Pennington has not indicated if she offers telemedicine

What is Roberta Rae Pennington ’s professional license number?

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What is Roberta Rae Pennington ’s NPI number?

1093845299

Does Roberta Rae Pennington have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2251P0200X Physical Therapist - Pediatrics 14647 CA

National Provider Identifier

NPI 1093845299
Provider Name Roberta Rae Pennington
First Address San Clemente, CA 92673-6213
Second Address San Clemente, CA 92673-6213
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 06/03/2007
Last Update Date 28/02/2012

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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