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

Stephanie Penner, PTA

Individual provider Physical Therapist · NPI 1417685801

Stephanie Penner, PTA is a Physical Therapist in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

25311 Little Mack Ave Ste A
Saint Clair Shores, MI 48081-3301
Phone: (586) 771-4900
Fax: (586) 771-4993
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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 5502008121 (MI)

Record details

NPI number1417685801
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 12, 2022
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

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