Kathleen Pennock, MS, PT in Glen Allen, VA - Medicare Physical Therapist Provider

Kathleen Pennock, MS, PT is a medicare enrolled "Physical Therapist" provider in Glen Allen, Virginia. Her current practice location is 10128 W Broad St Bldg Iii, Glen Allen, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 217-9210.

Kathleen Pennock is licensed to practice in Virginia (license number 2305202695) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1275572661.

Contact Information

	Kathleen Pennock, MS, PT
	10128 W Broad St Bldg Iii, Glen Allen, VA 23060-6761
	(804) 217-9210
	(804) 217-9213

Map and Direction

Healthcare Provider's Profile

Full Name	Kathleen Pennock
Gender	Female
Speciality	Physical Therapist
Location	10128 W Broad St Bldg Iii, Glen Allen, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275572661
Provider Enumeration Date: 06/04/2006
Last Update Date: 01/09/2025

Medicare PECOS Information:

PECOS PAC ID: 0547279556
Enrollment ID: I20060419000145

Medical Identifiers

Medical identifiers for Kathleen Pennock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275572661	NPI	-	NPPES
540885859	Other	VA	PRIVATE HEALTHCARE SYSTEM
540885859	Other	VA	COMPMANAGEMENT
540885859	Other	VA	VIRGINIA HEALTH NETWORK
540885859	Other	VA	FOCUS
98999	Other	VA	OPTIMA HEALTH
540885859	Other	VA	MULTIPLAN
010206626	Medicaid	VA
258462	Other	VA	SOUTHERN HEALTH
192289	Other	VA	ANTHEM HANOVER PT
540885859	Other	VA	C&O EMPLOYEE'S HEALTHCARE
540885859	Other	VA	FIRST HEALTH/CCN
540885859	Other	VA	CORVEL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	2305202695 (* (Not Available))	Secondary
225100000X	Physical Therapist	2305202695 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathleen Pennock allows following entities to bill medicare on her behalf.

Provider Name	Ivyrehab Sept, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1982657433 PECOS PAC ID: 7911990908 Enrollment ID: O20240202000799

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Pennock is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kathleen Pennock, MS, PT 10128 W Broad St Bldg Iii, Glen Allen, VA 23060-6761 Ph: (804) 217-9210	Kathleen Pennock, MS, PT 10128 W Broad St Bldg Iii, Glen Allen, VA 23060-6761 Ph: (804) 217-9210

Reviews and Comments

Physical Therapist in Glen Allen, VA

Crippled Children's Hospital Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10124 W Broad St Ste K, Children's Hospital Therapy Center, Glen Allen, VA 23060 Phone: 804-273-6656 Fax: 804-273-6612
Dr. Reshma Ramesh Karia, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2429 Valleymeade Pl, Glen Allen, VA 23060 Phone: 502-594-2034
James Wilfred Picard Iii, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5300 Hickory Park Dr, Suite 110, Glen Allen, VA 23059 Phone: 804-270-7754 Fax: 804-270-7756
Mary Caitlin Cederholm, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4101 Cox Rd Ste 301, Glen Allen, VA 23060 Phone: 804-716-0457 Fax: 804-716-0496
Andrew Thorpe, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5109 Arrowbrook Ct, Glen Allen, VA 23060 Phone: 866-839-6979
Laura Thornton, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5300 Hickory Park Dr, Suite 110, Glen Allen, VA 23059 Phone: 804-270-7754
Alan Lombardo, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 Eastshore Dr Ste 200, Glen Allen, VA 23059 Phone: 804-441-2450

Kathleen Pennock, MS, PT - Medicare Physical Therapist in Glen Allen, VA