Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kathleen Pennock, MS, PT

Physical Therapist in Glen Allen, VA · enumerated 2006 · practices at Tidewater Physical Therapy, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275572661

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Registry record

Entity type Individual (Type 1)

Name Kathleen Pennock

Credential MS, PT

Sex Female

Practice address 10128 W Broad St Bldg III, Glen Allen, VA, 23060

Phone (804) 217-9210

Fax (804) 217-9213

Enumeration date Jun 4, 2006

Last updated in NPPES Jan 9, 2025

Taxonomy & licenses

2251X0800X Orthopedic Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2305202695 Secondary

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 2305202695 (VA) Primary

PT · Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation. About the PT credential

Other identifiers

Identifier	Type	State	Issuer
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

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1275572661 active?

Yes, as of the latest NPPES snapshot, NPI 1275572661 is active (record last updated 2025-01-09).

How do I verify Kathleen Pennock's NPI record?

Cross-check NPI 1275572661 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Other providers at this practice address

Browse all →

Jason Bridges Physical Therapist · Glen Allen, VA NPI 1225090350 Tidewater Physical Therapy, LLC Physical Therapist · Glen Allen, VA NPI 1457389595 Teri Draper Physical Therapist · Glen Allen, VA NPI 1992221816

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-09.