Individual provider · Type 1 NPI

Madison Grace Pena, PTA

Physical Therapy Assistant · Southaven, MS

NPI number 1255006037 Active

Practice location

7580 Clarington Cv
Southaven, MS 38671-5657

Call (901) 259-1600 Map

Fax (901) 259-1698

Mailing address

6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5754

Other practice locations

  • 484 Church Rd E, Southaven, MS 38671-9714 · (662) 349-2489
  • 421 E Commerce St, Hernando, MS 38632-2348 · (662) 449-4427
  • 287 Highway 6 W, Batesville, MS 38606-2557 · (662) 578-7799
  • 1201 Office Park Dr, Oxford, MS 38655-3598 · (662) 371-1987

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA7197 (MS)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

18 other providers at this address

Other physical therapy assistant providers in Southaven

See all in Southaven →

About NPI 1255006037

Madison Grace Pena, PTA's National Provider Identifier is 1255006037, issued on Aug 12, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Southaven, MS. The record was last updated on Nov 14, 2023.