Mikenzi Pettenger, PT, DPT
NPI 1093520850 · Physical Therapist · Daytona Beach, FL
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mikenzi Pettenger, PT, DPT is a Physical Therapist provider in Daytona Beach, FL (NPI 1093520850).
Provider details
- NPI number
- 1093520850
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- License
- PT42809 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-02-10
- Last updated
- 2025-02-10
- Certified
- 2025-02-10
Frequently asked questions
- What is Mikenzi Pettenger's NPI number?
- Mikenzi Pettenger's National Provider Identifier (NPI) is 1093520850, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mikenzi Pettenger's specialty?
- Mikenzi Pettenger is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mikenzi Pettenger located?
- Mikenzi Pettenger's practice location on file with NPPES is 1865 Lpga Blvd, Daytona Beach, FL 32117-7108.
- What is Mikenzi Pettenger's phone number?
- The practice phone number listed in the NPPES registry for Mikenzi Pettenger is (386) 258-4596.
- Does Mikenzi Pettenger accept Medicare?
- Mikenzi Pettenger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mikenzi Pettenger's NPI active?
- Yes — Mikenzi Pettenger's NPI (1093520850) is active in the NPPES registry as of the last update on 2025-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.