Jennifer Ann Pennington, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

36108 Issued in CA

Practice address

2204 S El Camino Real
Suite 102
Oceanside, CA 92054-6306

Phone

(760) 477-1350

Fax

(760) 754-6785

NPI assigned

Dec 8, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Jennifer Ann Wheeler Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-City Orthopaedic Surgery Medical Group Inc.Group PAC ID 1153388434, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tri-City Orthopaedic Surgery Medical Group Inc

  • Orthopaedic Surgery Physician
  • Oceanside, CA
  • NPI 1861451445

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Tri City Orthopaedic Surgery Medical Group Inc

  • Orthopedic Physical Therapist
  • Vista, CA
  • NPI 1912314303
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1093044711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 S EL CAMINO REAL",
            "address_2": "SUITE 102",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546306",
            "telephone_number": "760-477-1350",
            "fax_number": "760-754-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 S EL CAMINO REAL",
            "address_2": "SUITE 102",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546306",
            "telephone_number": "760-477-1350",
            "fax_number": "760-754-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNINGTON",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WHEELER",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maribel Pena
• Melisa Pena
• Marina Tiffany Pender, OTR
• Robert Brian Pendleton, MD PHD
• Emily C Penner, RN
• Jan R Penvose-Yi, MD
• Amada Pereira
• Abigayl Perelman
• Michael Jeffrey Perelman, M.D.
• Thania Perez-Aburto

• Physical Therapist in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.