Jeanette T. Barrack, PT
Physical Therapist in La Mesa, CA. Individual provider (NPI-1).
NPI number1295940369
StatusActive
Last updated in NPPESSep 8, 2020
Details
- NPI
- 1295940369
- Entity type
- Individual (NPI-1)
- Name
- Jeanette T. Barrack
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 11, 2007
- Certification date
- Sep 8, 2020
- Last updated
- Sep 8, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- 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 | 11265 | CA | Yes |
Practice location
5360 Jackson DrLa Mesa, CA 91942-6002
Phone 616-667-7000 · Fax 619-667-4315
Mailing address
5360 Jackson Dr Ste 110La Mesa, CA 91942-3012
Phone 619-667-7000 · Fax 619-667-7000
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 119 Physical Therapist providers in La Mesa · All 2,882 providers in La Mesa
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