BRENT MICHAEL PENNELLY


Address: 345 S Halcyon Rd, Arroyo Grande, CA 93420
Phone: 8054894261

BRENT MICHAEL PENNELLY (NPI# 1164868873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164868873
Entity Type Individual
Full Name BRENT MICHAEL PENNELLY
Credential MD
Practice Address 345 S Halcyon Rd
Arroyo Grande
CA 93420
Mailing Address Po Box 324
Danville
CA 94526-0324
Practice Telephone 8054894261
Mailing Telephone 9258204230
Enumeration Date 2013-05-21
Last Update Date 2018-05-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208100000X Physical Medicine & Rehabilitation A153934 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 345 S HALCYON RD
City ARROYO GRANDE
State CA
Zip Code 93420

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487640470 Andrew D Sun Anesthesiology 345 S Halcyon Rd, Arroyo Grande, CA 93420-3896 2005-09-23
1558983510 Elizabeth Henrichs Occupational Therapist 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 2020-05-13
1023630514 Excellence In Rehabilitation Medical Group Inc Physical Medicine & Rehabilitation 345 S Halcyon Rd, Arroyo Grande, CA 93420-3899 2020-05-07
1881257608 Angel Charissa Evans Social Worker 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 2019-04-17
1306334719 Knd Development 59, LLC Hospitalist 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 2018-05-01
1871039909 Stephanie Pulikkottil Joseph M.d. Medical Corporation Physical Medicine & Rehabilitation 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 2017-01-12
1427409929 Larry Foreman, Do Emergency Medicine 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 2016-06-27
1386058030 Sharon Peach Corporation Specialist 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 2014-06-19
1619395720 Wellness & Rehabilitation Medicine, Inc. Physical Medicine & Rehabilitation 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 2014-04-04
1942540497 Affiliated Pathologists of The Central Coast Pathology 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 2013-02-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992337174 Element Nutrition Company, LLC Dietitian, Registered 405 E. Branch St. #102, Arroyo Grande, CA 93420 2020-02-06
1861965055 Pacific Central Coast Health Centers Clinic/Center 850 Fair Oaks Ave Ste 310, Arroyo Grande, CA 93420 2019-01-10
1629552815 Leanne Marie Ford Physician Assistant 536 Camino Mercado, Arroyo Grande, CA 93420 2018-09-24
1730662107 Kelli Thompson Hamma Massage Therapist 630 Lancaster Dr, Arroyo Grande, CA 93420 2018-09-12
1063962595 Suzanne Erickson Social Worker 2820 Poquito Place, Arroyo Grande, CA 93420 2016-10-07
1255888459 Anka Behavioral Health, Inc. Community/Behavioral Health 2119 Lopez Dr, Arroyo Grande, CA 93420 2016-09-06
1225585664 Tikva Treatment Substance Abuse Rehabilitation Facility 170 Nelson Street, Suite 102, Arroyo Grande, CA 93420 2016-09-01
1831541986 Tikva Treatment LLC Clinic/Center 621 E Grande Ave, Arroyo Grande, CA 93420 2016-07-12
1255788543 David E. Yocum, M.d., A Medical Corporation Internal Medicine 860 Oak Park Blvd., #204, Arroyo Grande, CA 93420 2016-05-17
1689059800 David Hikaru Lindsey Dentist 203 Station Way, Arroyo Grande, CA 93420 2015-07-29
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Taxonomy Information

Taxonomy Code 208100000X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation

Taxonomy Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023630514 Excellence In Rehabilitation Medical Group Inc Physical Medicine & Rehabilitation 345 S Halcyon Rd, Arroyo Grande, CA 93420-3899 2020-05-07
1871039909 Stephanie Pulikkottil Joseph M.d. Medical Corporation Physical Medicine & Rehabilitation 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 2017-01-12
1619395720 Wellness & Rehabilitation Medicine, Inc. Physical Medicine & Rehabilitation 345 S Halcyon Rd, Arroyo Grande, CA 93420-3817 2014-04-04
1912195603 Valerie Anne Jones Physical Medicine & Rehabilitation 850 Fair Oaks Ave Ste 100, Arroyo Grande, CA 93420 2007-10-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477154730 Drew Matthew Lemay Physical Medicine & Rehabilitation 2501 S El Camino Real, San Clemente, CA 92672-3350 2020-11-03
1821698325 Karen Pena Physical Medicine & Rehabilitation 930 S Mount Vernon Ave, Grand Terrace, CA 92324-3928 2020-10-26
1104423052 Prehab LLC Physical Medicine & Rehabilitation 10405 Sd Mssn Rd Ste 103105, San Diego, CA 92108-2102 2020-10-05
1699381517 Paige Lauren Stephens Physical Medicine & Rehabilitation 6961 Los Amigos Cir, Huntington Beach, CA 92647-6659 2020-09-16
1740895788 Rebecca Niamtu Physical Medicine & Rehabilitation 364 S Cloverdale Ave, Los Angeles, CA 90036-3478 2020-09-15
1245845296 Brianna Brooskin Physical Medicine & Rehabilitation 2850 Adrian St Apt 102, San Diego, CA 92110-5700 2020-09-15
1366057622 Jaime Lyn Kelley Physical Medicine & Rehabilitation 10213 Tillicum Way, Nevada City, CA 95959-2019 2020-09-14
1346853868 Edwin Castillo Physical Medicine & Rehabilitation 767 Freeman Ave Apt 3, Long Beach, CA 90804-4988 2020-08-25
1225640675 Hema Kamal Physical Medicine & Rehabilitation 1049 El Monte Ave, Mountain View, CA 94040-2398 2020-08-18
1760094338 Bayhealth Connect LLC Physical Medicine & Rehabilitation 30 Union Ave Ste 210, Campbell, CA 95008-3162 2020-08-17
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Competitor

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City ARROYO GRANDE
Zip Code 93420

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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