Individual ProviderToni PentaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address850 N Main Street Ext Ste 3b, Wallingford, CT 06492-2400(203) 265-3790PECOS EnrollmentBased on the most recent information from CMS, provider Toni Penta does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1376148627Provider TypeIndividualFull NamePenta, ToniCredentialPTGenderFemaleSole ProprietorNoEnumeration Date12/3/2020Last Updated12/3/2020Contact InformationPractice LocationPractice Address850 N Main Street Ext Ste 3b, Wallingford, CT 06492-2400Phone(203) 265-3790FaxUnlisted FaxMailing LocationMailing Address25 Fairview Ave, Plainville, CT 06062-2807PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense12775Connecticut