Penny Irene Raines, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PT 1291 Issued in CA

Practice address

18687 Main Street
Groveland, CA 95370

Phone

(209) 962-4035

Fax

(209) 962-5399

NPI assigned

Jan 18, 2008

Last updated

Jan 18, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• County of Tuolumne

  dba Groveland Physical Therapy

  • Physical Therapist
  • Groveland, CA
  • NPI 1487859864
  NPD (past)

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1235315334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 737",
            "city": "GROVELAND",
            "state": "CA",
            "postal_code": "953210737",
            "telephone_number": "209-962-4035",
            "fax_number": "209-962-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18687 MAIN STREET",
            "city": "GROVELAND",
            "state": "CA",
            "postal_code": "95370",
            "telephone_number": "209-962-4035",
            "fax_number": "209-962-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINES",
        "first_name": "PENNY",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PT 1291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Lizbeth Pacheco-Cordova
• Susan Samantha Paloma, BEHAVIOR ASSISTANT
• Patrick K Crosby (Groveland Pharmacy)
• Brianna Peralez VIII
• Pine Mountain Therapy
• Lori T Reynolds, LMFT
• Kerrie L. Robison, PT
• John Romano, DDS
• Ronald E Oler (Groveland Chiropractic and Nutrition)
• David Alberto Ruiz Sanchez

• Physical Therapy Assistant in Groveland, CA
• Providers in Groveland, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.