MIKENZI PETTENGER PT, DPT
NPI 1093520850
Physical Therapist in Daytona Beach, FL

NPI Status: Active since February 10, 2025

Contact Information

1865 LPGA BLVD
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 258-4596
Fax: (386) 258-3561

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  • Individual
  • Female
  • Physical Therapist

About MIKENZI PETTENGER

This page provides the complete NPI Profile along with additional information for Mikenzi Pettenger, a provider established in Daytona Beach, Florida with a medical specialization in Physical Therapist. The healthcare provider is registered in the NPI registry with number 1093520850 assigned on February 2025. The practitioner's primary taxonomy code is 225100000X with license number PT42809 (FL). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1093520850
Provider Name
MIKENZI PETTENGER PT, DPT
Gender
Female
Entity Type
Individual
Location Address
1865 LPGA BLVD DAYTONA BEACH, FL 32117
Location Phone
(386) 258-4596
Location Fax
(386) 258-3561
Mailing Address
1865 LPGA BLVD DAYTONA BEACH, FL 32117
Mailing Phone
(386) 258-4596
Mailing Fax
(386) 258-3561
Is Sole Proprietor?
No
Enumeration Date
02-10-2025
Last Update Date
02-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT42809
License State
FL
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093520850
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201831020810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 1 + 0 + 2 + 0 + 8 + 1 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1093520850 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396475018 BRITTANY DAWN KORELL NP
Individual
Nurse Practitioner (Family)1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1558340240ORTHOPAEDIC CLINIC OF DAYTONA BEACH PA
Organization
Orthopaedic Surgery1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1558486076MR. GARY ROBINSON OTR, CHT, MBA
Individual
Occupational Therapist1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1588138499 CHANDLER MELTON PA
Individual
Physician Assistant1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1184321788 MEGAN GRUDEN PA-C
Individual
Physician Assistant1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1225577703DR. DOMINIC MARINO D.O.
Individual
Orthopaedic Surgery1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1306986898 JESSICA SARAH JIMENEZ PA-C
Individual
Physician Assistant1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1467027110DR. AMBER NICOLE WISE PT, DPT
Individual
Physical Therapist1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1710966601 ALBERT W. GILLESPY MD
Individual
Orthopaedic Surgery1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1740606441 JEFFREY M ALENT D.O.
Individual
Internal Medicine (Sports Medicine)1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1770129413 TABITHA CASTRILLON PA-C
Individual
Physician Assistant1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1790281400 ERIC DAVID VILLARREAL MD
Individual
Orthopaedic Surgery1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1841711819 BRANDON ANDREW SIMONETTA MD
Individual
Orthopaedic Surgery1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1033172200 TODD A. MCCALL MD
Individual
Orthopaedic Surgery1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1073592606 MARK C. GILLESPY MD
Individual
Orthopaedic Surgery1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1073592788 BRIAN R. HATTEN MD
Individual
Orthopaedic Surgery1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1114231628 BROOKE DYAN TOLLAND PA-C
Individual
Physician Assistant1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1154683894 ROBERT N. PAGE JR. DPT
Individual
Physical Therapist1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1184031338 DANIEL SCOTT WINECOFF APRN
Individual
Nurse Practitioner1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596
1225436587 ELTON GENE MIRANDA APRN
Individual
Nurse Practitioner1865 LPGA BLVD
DAYTONA BEACH, FL 32117
(386) 255-4596

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093520850, enumerated in the NPI registry as an "individual" on February 10, 2025

The provider is located at 1865 Lpga Blvd Daytona Beach, Fl 32117 and the phone number is (386) 258-4596

The provider's speciality is Physical Therapist with taxonomy code 225100000X

This NPI record was last updated on February 10, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.