Jennifer Daniell Pentrack, PT
Physical Medicine & Rehabilitation in Mount Shasta, CA. Individual provider (NPI-1).
Details
- NPI
- 1366770992
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Daniell Pentrack
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 19, 2009
- Last updated
- Nov 19, 2009
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 |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 118190 | CA | Yes |
Practice location
633 Lassen LnMount Shasta, CA 96067-9002
Phone 530-926-6010 · Fax 530-926-6909
Mailing address
633 Lassen LnMount Shasta, CA 96067-9002
Phone 530-926-6010 · Fax 530-926-6909
Is something wrong?
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.
Other Physical Medicine & Rehabilitation Physician providers in Mount Shasta, CA
- Joseph Champagne, PTNPI 1982932513
- Jason Koster, PTNPI 1295063832
- Peter Grant MDNPI 1841483732
- Linda Stremel, PTNPI 1306174941
- Carol Winston, PTNPI 1568790194
All 6 Physical Medicine & Rehabilitation Physician providers in Mount Shasta · All 273 providers in Mount Shasta
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