MIKENZI PETTENGER PT, DPT
NPI 1093520850
Physical Therapist in Daytona Beach, FL
About Mikenzi Pettenger Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIKENZI PETTENGER PT, DPT (NPI 1093520850) is an individual physical therapist in Daytona Beach, Florida, licensed in Florida (PT42809) and active in the NPI registry since February 2025. She is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mikenzi Pettenger Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mikenzi Pettenger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Daytona Beach, FL 32117
- Reassigned Medicare billing, Florida enrollment
- 32 clinicians in this Medicare group
Port St Lucie, FL 34987
- Reassigned Medicare billing, Florida enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32117 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mikenzi Pettenger's NPI number?
The NPI number for Mikenzi Pettenger is 1093520850. It was assigned to this individual provider in the NPPES registry on February 10, 2025.
Where is Mikenzi Pettenger located?
Mikenzi Pettenger practices at 1865 Lpga Blvd, Daytona Beach, FL 32117. The listed phone number is (386) 258-4596.
What is Mikenzi Pettenger's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Mikenzi Pettenger enrolled in Medicare?
Yes. Mikenzi Pettenger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mikenzi Pettenger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mikenzi Pettenger reassigns Medicare benefits to 2 organizations: Orthopaedic Clinic Of Daytona Beach PA (Daytona Beach, FL) and Premier Wellness Centers LLC (Port St Lucie, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mikenzi Pettenger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mikenzi Pettenger was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.