Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Pennock, MS, PT

Individual provider Orthopedic Physical Therapist · NPI 1275572661

Kathleen Pennock, MS, PT is a Physical Therapist in Private Practice in Glen Allen, Virginia. Qualified in 2000, 26 years ago. Practices with Ivyrehab Sept, LLC, a 215-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
26
Licensed in
VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

10128 W Broad St Bldg Iii
Glen Allen, VA 23060-6761
Phone: (804) 217-9210
Fax: (804) 217-9213
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8266 Atlee Rd, Mechanicsville, VA 23116-1804 — (804) 569-1665
  • 5901 W Broad St Ste 203, Richmond, VA 23230-2219 — (804) 533-7577

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305202695 (VA)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 2305202695

Record details

NPI number1275572661
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PT
Sole proprietorNo
NPI enumeratedJune 4, 2006
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Ivyrehab Sept, Llc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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