Ms. Susan E Penrod, ATC
Specialist/Technologist, Athletic Trainer in Brick, New Jersey
1558403725- Practice location
- 2001 Lanes Mill RD, Brick, NJ 08724-1405
- Phone
- 732-785-3090
- Fax
- 732-836-1251
- Last updated
- July 8, 2007
Susan Elizabeth Penrod is a Specialist/Technologist, Athletic Trainer based in Brick, NJ. Susan Elizabeth Penrod practices in Brick, NJ and has the professional credentials of ATC. The NPI Number for Susan Elizabeth Penrod is 1558403725 and holds a License No. 25MT00058400 (NJ). The current practice location address for Susan Elizabeth Penrod is 2001 Lanes Mill RD, Brick, NJ 08724-1405 and can be reached out via phone at 732-785-3090 and via fax at 732-836-1251.
Provider Profile Details
- NPI Number
- 1558403725
- Provider Name
- Susan Elizabeth Penrod
- Credential
- ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2001 Lanes Mill RD, Brick, NJ 08724-1405
- Phone Number
- 732-785-3090
- Fax Number
- 732-836-1251
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 13, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2001 Lanes Mill RD
Brick, NJ 08724-1405 - City
- Brick
- State
- New Jersey
- Zip
- 08724-1405
- Phone Number
- 732-785-3090
- Fax Number
- 732-836-1251
Provider Business Mailing Address Details
- Address
- 412 Rose Ave
Brick, NJ 08724-2108 - City
- Brick
- State
- NJ
- Zip
- 08724-2108
- Phone Number
- 732-458-0367
License Information
- License Number
- 25MT00058400
- License State
- NJ
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialist/Technologist, Athletic Trainers near Brick, NJ
View all Specialist/Technologist, Athletic Trainers in Brick →- Annette A Mcneil, MSWSpecialist/Technologist, Athletic Trainer · NPI 1265836944
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- Jessica T Dedomenico, MS, LAT, ATCSpecialist/Technologist, Athletic Trainer · NPI 1457088700
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Frequently Asked Questions
What is the NPI number of Ms. Susan E Penrod, ATC?
The NPI number of Ms. Susan E Penrod, ATC is 1558403725. It was assigned on February 13, 2007 and is currently active in the NPPES registry.
What is the specialty of Ms. Susan E Penrod, ATC?
Ms. Susan E Penrod, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number 25MT00058400.
Where does Ms. Susan E Penrod, ATC practice?
The practice location is 2001 Lanes Mill RD, Brick, NJ 08724-1405. The office can be reached at 732-785-3090 (phone) or 732-836-1251 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558403725 directly on the NPPES registry website.