SARA JOHANNA PENNO M.S.
NPI 1124698022
Speech-Language Pathologist in Brandon, FL

Active since July 01, 2021Accepts Medicare Assignment
206 RIDGEWOOD AVE, BRANDON, FL 33510(813) 662-1060 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2025, Jul 1, 2021 (2 updates tracked since 2021).

About Sara Johanna Penno M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARA JOHANNA PENNO M.S. (NPI 1124698022) is an individual speech-language pathologist provider in Brandon, Florida, licensed in Florida (SA20971) and active in the NPI registry since July 2021. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1124698022
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSARA JOHANNA PENNOCredential: M.S.
Location Address206 RIDGEWOOD AVEBrandon, FL 33510-4617
Mailing Address3002 W Cleveland St Unit D10Tampa, FL 33609-3182 · (262) 323-4434
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 1, 2021
Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1124698022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in FL · SA20971
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
206 RIDGEWOOD AVE, Brandon, FL 33510

Other Identifiers 1

Medicaid10158FL

Accepted Insurance

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

Sara Johanna Penno M.s. 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.

PECOS PAC ID3274057179
PECOS Enrollment IDI20250414000503

Medicare Billing Reassignments

2

Medicare enrollment records show Sara Penno reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Speech-Language Pathologist
7600 CHEVY CHASE DR, BLDG 2 SUITE 300
Austin, TX 78752
  • Reassigned Medicare billing, Georgia enrollment
  • 93 clinicians in this Medicare group
Speech-Language Pathologist
3800 N LAMAR BLVD STE 200
Austin, TX 78756
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Expressable Speech-Language Pathology PC
  • 113 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.

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.

Physical Therapist (Pediatrics)
206 RIDGEWOOD AVE
BRANDON, FL 33510
Speech-Language Pathologist
206 RIDGEWOOD AVE
BRANDON, FL 33510
Occupational Therapy Assistant
206 RIDGEWOOD AVE
BRANDON, FL 33510
Occupational Therapist (Pediatrics)
206 RIDGEWOOD AVE
BRANDON, FL 33510
Physical Therapist
206 RIDGEWOOD AVE
BRANDON, FL 33510
Occupational Therapist
206 RIDGEWOOD AVE
BRANDON, FL 33510
Physical Therapist
206 RIDGEWOOD AVE
BRANDON, FL 33510
Physical Therapist (Pediatrics)
206 RIDGEWOOD AVE
BRANDON, FL 33510

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 Sara Penno's NPI number?

The NPI number for Sara Penno is 1124698022. It was assigned to this individual provider in the NPPES registry on July 1, 2021.

Where is Sara Penno located?

Sara Penno practices at 206 Ridgewood Ave, Brandon, FL 33510. The listed phone number is (813) 662-1060.

What is Sara Penno's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Sara Penno enrolled in Medicare?

Yes. Sara Penno 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 Sara Penno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Penno reassigns Medicare benefits to 2 organizations: Expressable Therapy PC (Austin, TX) and Expressable Speech-Language Pathology, P.C. (Austin, TX). 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 Sara Penno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sara Penno accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Sara Penno as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sara Penno was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.