Individual provider · Type 1 NPI

Annisa Suzette Penfold, PTA

Physical Therapy Assistant · Albuquerque, NM

NPI number 1255878641 Active

Practice location

5006 Copper Ave NE
Albuquerque, NM 87108-1301

Call (505) 268-7988 Map

Mailing address

9468 E Colonial Dr
Orlando, FL 32817-4150

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA26785 (FL)

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 …

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About NPI 1255878641

Annisa Suzette Penfold, PTA's National Provider Identifier is 1255878641, issued on Jan 24, 2017. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Albuquerque, NM. The record was last updated on Feb 5, 2024.