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

Mr. Jeffrey Joseph Pennock, PTA

Individual provider Physical Therapist · NPI 1710953302

Mr. Jeffrey Joseph Pennock, PTA is a Physical Therapist in Little Egg Harbor Twp, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

798 Route 539 Ste 2
Little Egg Harbor Twp, NJ 08087-4203
Phone: (609) 294-4720
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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 40QB00043300 (NJ)

Record details

NPI number1710953302
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESMarch 21, 2008

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