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Leighton Michael Penn

NPI 1912707845ActiveIndividual· Physical Therapy Assistant· Maple Grove, MN

Physical Therapy Assistant in Maple Grove, Minnesota, licensed in MN, with an NPI issued in March 2025.

Overview

NPI1912707845
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMar 18, 2025
Last updated in NPPESMar 18, 2025
Certified by providerMar 18, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary225200000XA2692MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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