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STACEY L PENVOSE ATC
NPI 1912184425
Specialist/Technologist - Athletic Trainer in Millersburg, PA

Active since January 28, 2008
75 EVELYN DR, MILLERSBURG, PA 17061(717) 692-4708 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey L Penvose Atc NPPES

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

STACEY L PENVOSE ATC (NPI 1912184425) is an individual athletic trainer provider in Millersburg, Pennsylvania, licensed in Pennsylvania (RTO000041) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1912184425
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameSTACEY L PENVOSECredential: ATC
Location Address75 EVELYN DRMillersburg, PA 17061-1258
Mailing Address75 Evelyn DrMillersburg, PA 17061-1258 · (717) 692-4708
Phone(717) 692-4708
Sole ProprietorYes
Enumeration DateJanuary 28, 2008
✔ NPI 1912184425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in PA · RTO000041
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
75 EVELYN DR, Millersburg, PA 17061
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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.

BARBARA BOSTIC MSPT
Physical Therapist
75 EVELYN DR
MILLERSBURG, PA 17061
Dauphin County (717) 692-4708
STEPHANIE K RADA DPT
Physical Therapist
75 EVELYN DR
MILLERSBURG, PA 17061
Dauphin County (717) 692-4708
MR. JEFFREY DONALD SHIELDS ATC,MED
Specialist/Technologist (Athletic Trainer)
75 EVELYN DR
MILLERSBURG, PA 17061
Dauphin County (717) 692-4708
RUSSELL POOLE PT
Physical Therapist
75 EVELYN DR
MILLERSBURG, PA 17061
Dauphin County (717) 692-4708
CENTRAL PA REHABILITATION SERVICES, INC.
Physical Therapist
75 EVELYN DR
MILLERSBURG, PA 17061
Dauphin County (717) 692-4708
JENNIFER HEILAND DPT
Physical Therapist
75 EVELYN DR
MILLERSBURG, PA 17061
Dauphin County (717) 692-4708
ORTHOPEDIC SURGEONS LTD
Orthopaedic Surgery
75 EVELYN DR
MILLERSBURG, PA 17061
Dauphin County (717) 761-5530
THOMAS J MARSILIO MPT
Physical Therapist
75 EVELYN DR
MILLERSBURG, PA 17061
Dauphin County (717) 692-4708

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 Stacey Penvose's NPI number?

The NPI number for Stacey Penvose is 1912184425. It was assigned to this individual provider in the NPPES registry on January 28, 2008.

Where is Stacey Penvose located?

Stacey Penvose practices at 75 Evelyn Dr, Millersburg, PA 17061. The listed phone number is (717) 692-4708.

What is Stacey Penvose's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Stacey Penvose was last updated on January 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.