Healthcare Provider Details

I. General information

NPI: 1699571059
Provider Name (Legal Business Name): VICTORIA LEE PENNINGTON PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 E CHANNEL ISLANDS BLVD
OXNARD CA
93033-5617
US

IV. Provider business mailing address

1651 E CHANNEL ISLANDS BLVD
OXNARD CA
93033-5617
US

V. Phone/Fax

Practice location:
  • Phone: 805-240-3373
  • Fax: 877-298-4204
Mailing address:
  • Phone: 805-240-3373
  • Fax: 877-298-4204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0020285
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCPO42106T
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number309408
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: