Active NPIIndividual providerSole proprietor

Wayne A Penniman, DPT, ATC, CSCS

Physical Therapist, Orthopedic in Clinton, Massachusetts

NPI Number1700076064
Practice location
45 High St, Clinton, MA 01510-2906
Fax
—
Last updated
January 22, 2015

Wayne Allen Penniman is a Physical Therapist, Orthopedic based in Clinton, MA. Wayne Allen Penniman practices in Clinton, MA and has the professional credentials of DPT, ATC, CSCS. The NPI Number for Wayne Allen Penniman is 1700076064 and holds a License No. 11012 (MA). The current practice location address for Wayne Allen Penniman is 45 High St, Clinton, MA 01510-2906 and can be reached out via phone at 508-826-5968.

Provider Profile Details

NPI Number
1700076064
Provider Name
Wayne Allen Penniman
Credential
DPT, ATC, CSCS
Provider Entity Type
Individual
Gender
Male
Address
45 High St, Clinton, MA 01510-2906
Phone Number
508-826-5968
Primary Taxonomy
Physical Therapist, Orthopedic · 2251X0800X
Sole Proprietor
Yes
Provider Enumeration Date
August 1, 2007
Last Update Date
January 22, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 High St
Clinton, MA 01510-2906
Zip
01510-2906
Phone Number
508-826-5968
Clinton, MA 01510Get directions →

Provider Business Mailing Address Details

Address
21 Colonial Dr
Clinton, MA 01510-1469
City
Clinton
State
MA
Zip
01510-1469
Phone Number
508-826-5968

License Information

License Number
11012
License State
MA
Taxonomy
Physical Therapist, Orthopedic · 2251X0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wayne A Penniman, DPT, ATC, CSCS?

The NPI number of Wayne A Penniman, DPT, ATC, CSCS is 1700076064. It was assigned on August 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Wayne A Penniman, DPT, ATC, CSCS?

Wayne A Penniman, DPT, ATC, CSCS is registered under the primary taxonomy Physical Therapist, Orthopedic (code 2251X0800X), licensed in MA under license number 11012.

Where does Wayne A Penniman, DPT, ATC, CSCS practice?

The practice location is 45 High St, Clinton, MA 01510-2906. The office can be reached at 508-826-5968 (phone).

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 1700076064 directly on the NPPES registry website.

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