Penelope Sue Elam, DPT, CLT. GCS
Physical Therapist in Moneta, VA. Individual provider (NPI-1).
NPI number1740437490
StatusActive
Last updated in NPPESOct 24, 2026
Details
- NPI
- 1740437490
- Entity type
- Individual (NPI-1)
- Name
- Penelope Sue Elam
- Credential
- DPT, CLT. GCS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2008
- Certification date
- Oct 24, 2026
- Last updated
- Oct 24, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2305831279 | VA | Yes |
Practice location
122 Watch Tower DrMoneta, VA 24121-2122
Phone 561-324-5116
Mailing address
122 Watch Tower DrMoneta, VA 24121-2122
Phone 561-324-5116
Is something wrong?
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All 10 Physical Therapist providers in Moneta · All 101 providers in Moneta
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