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

Mercedes Jade Pennebaker

Individual provider Physical Therapist · NPI 1376462655

Mercedes Jade Pennebaker is a Physical Therapist in Newark, Delaware. Licensed in Delaware. Registered with an NPI since 2026.

Licensed in
DE
In the registry since
2026
Specialties on file
2

Practice location Address checks out

540 S College Ave Ste 160
Newark, DE 19713-1302
Phone: (302) 831-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence J1-0015205 (DE)
Athletic Trainer Taxonomy 2255A2300X · Licence J1-0015205 (DE)

Record details

NPI number1376462655
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 13, 2026
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

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