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

Nicholas Penner

Individual provider Physical Therapy Assistant · NPI 1699480673

Nicholas Penner is a Physical Therapy Assistant in Las Cruces, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2023
Specialties on file
3

Practice location Address checks out

1005 Lujan Hill Rd
Las Cruces, NM 88007-6304
Phone: (575) 523-4573
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA1599 (NM)
Physical Therapy Assistant Taxonomy 225200000X
Physical Therapy Assistant Taxonomy 225200000X (NM)

Record details

NPI number1699480673
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 13, 2023
Last updated in NPPESFebruary 2, 2023
Certification dateJanuary 27, 2023

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