NPPES file of Aug 9, 2026

Stephanie Penner, PTA

Physical Therapist · Saint Clair Shores, MI

Stephanie Penner, PTA is a physical therapist with a practice address in Saint Clair Shores, Michigan, and NPI 1417685801, issued on Aug 12, 2022. Check the license (Michigan 5502008121, as entered in NPPES) with the Michigan board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417685801
Name
Stephanie Penner
Credential
PTA
Primary taxonomy
Physical Therapist 225100000X
License number
5502008121 MI
Self-reported in NPPES; status is on the state search
Practice location
25311 Little Mack Ave Ste A, Saint Clair Shores, MI 48081
Phone
(586) 771-4900
Enumerated
Aug 12, 2022
Record last updated
Jun 4, 2026
Fax
(586) 771-4993
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 25311 Little Mack Ave Ste A

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jessica CharrettePhysical Therapy Assistant1386493476
  2. Alyssa Madison, DPTPhysical Therapist1447643655
  3. Alexis Motycka, DPTPhysical Therapist1033722350
  4. Adam Puszczewicz, PT, DPT, AT/LPhysical Therapist1225178072
  5. Jennifer Roberts, PTAPhysical Therapy Assistant1821766346

Verify Stephanie Penner in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Michigan board licenses this profession
    Search for license 5502008121
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Michigan license search

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67 physical therapist records list a practice address in Saint Clair Shores

They are 67 of the 1,255 NPPES records with a practice address in Saint Clair Shores, and 9,592 physical therapist records in Michigan. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

Other physical therapist records in Michigan

  1. Saed Aabed, DPTWest Bloomfield, MI1144186719
  2. Susan Aagenas, PTChelsea, MI1215402680
  3. Eliza Abbasi, DPTWaterford, MI1003110958
  4. Shelby Abbott, DPTLivonia, MI1568158723
  5. Ehab Abdalla, DPTWestland, MI1922310424
  6. Sameh Abdallah, PTBloomfield Hills, MI1477025856
  7. Sarah Abdallah, PT, DPTLivonia, MI1417609264
  8. Sami Abdelbaqui, PTWyandotte, MI1174688394
  9. Hesham Abdelkader, BACHELOR DEGREEDavison, MI1740494657
  10. Julita Abdelkader, PHYSICAL THERAPISTLapeer, MI1144717224

Common questions

What is Stephanie Penner, PTA's NPI number?

Stephanie Penner, PTA's National Provider Identifier (NPI) is 1417685801, issued on Aug 12, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Stephanie Penner, PTA located?

The NPPES record lists a practice address at 25311 Little Mack Ave Ste A, Saint Clair Shores, MI, 48081. Phone: (586) 771-4900. Providers update this record themselves, so call before visiting.

How can I verify Stephanie Penner, PTA's license?

NPPES lists Michigan license number 5502008121, as entered by the provider. Search the Michigan board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.