EDWARD M PENOT (M.S.P.T.) – Physical Therapist, NPI 1306982830

EDWARD M PENOT (M.S.P.T.) is a healthcare provider. based in Media, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials M.S.P.T.. They hold a License No. PT016652 (PA). The NPI Number for EDWARD M PENOT (M.S.P.T.) is 1306982830

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD M PENOT (M.S.P.T.)
NPI
1306982830
Phone
(610) 891-3030
Address
1068 W BALTIMORE PIKE
Enumeration Date
30 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8556578723
Graduation Year
2003 (23 years ago)
PAC ID
5395180681
Group Practice PAC ID
3375774045
Professional Enrollment ID
I20240227000125
Address ID
PA193011534PA1450XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,280 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

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Provider Addresses for EDWARD M PENOT (M.S.P.T.)

  • Baltimore Pike, Bowling Green, Nether Providence Township, Delaware County, Pennsylvania, 19065, United States

    MEDIA, PA 190635104

    Phone: (610) 891-3030

    Fax: (610) 891-3035

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-27

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240227000125IPhysical Therapist In Private PracticePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19063)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375774045View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeDE
Qualified Speech Language PathologistPA
Occupational Therapist In Private PracticeMD
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeIL
-PA
-PA
Occupational Therapist In Private PracticePA
Qualified Speech Language PathologistNJ

Reviews

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Frequently asked questions

How do I look up EDWARD M PENOT (M.S.P.T.) by NPI?
Use NPI 1306982830 when you need to reference EDWARD M PENOT (M.S.P.T.) in forms, claims, or directories.
Is EDWARD M PENOT (M.S.P.T.)'s NPI currently valid?
The extract we use shows EDWARD M PENOT (M.S.P.T.) as active.
What kind of provider is EDWARD M PENOT (M.S.P.T.)?
The page reflects Physical Therapist for EDWARD M PENOT (M.S.P.T.). Clinical services aligned with this taxonomy classification.
Where is EDWARD M PENOT (M.S.P.T.)'s primary listing?
We display Media, Pennsylvania because that is what the record indicates for EDWARD M PENOT (M.S.P.T.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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