Jeannett M. Penner, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007467 Issued in WA

Practice address

8862 Bender Road
Suite 101
Lynden, WA 98264

Phone

(360) 354-1115

Fax

(360) 354-0321

NPI assigned

Nov 25, 2008

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

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capstone Health Services IncGroup PAC ID 0446414403, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Capstone Health Services Inc.

  • Physical Therapist
  • Lynden, WA
  • NPI 1336407956
  Medicare reassignment Care Compare group NPD Authorized official
• Capstone Health Services Inc.

  • Physical Therapist
  • Bellingham, WA
  • NPI 1831757848
  NPD Authorized official
• Capstone Health Services Inc.

  • Physical Therapist
  • Bellingham, WA
  • NPI 1134524192
  NPD (past) Authorized official
• Capstone Health Services Inc.

  • Physical Therapy Clinic/Center
  • Blaine, WA
  • NPI 1497171870
  NPD (past) Authorized official
• Capstone Health Services Inc.

  • Physical Therapist
  • Blaine, WA
  • NPI 1750842217
  NPD (past) Authorized official
• Capstone Health Services Inc.

  • Physical Therapist
  • Bellingham, WA
  • NPI 1780042523
  NPD (past) Authorized official
• Capstone Health Services Inc.

  • Physical Therapist
  • Mount Vernon, WA
  • NPI 1528989977
  NPD (past)

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336348800000",
    "number": "1295980704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8862 BENDER ROAD",
            "address_2": "SUITE 101",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "98264",
            "telephone_number": "360-354-1115",
            "fax_number": "360-354-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8862 BENDER ROAD",
            "address_2": "SUITE 101",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "98264",
            "telephone_number": "360-354-1115",
            "fax_number": "360-354-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNER",
        "first_name": "JEANNETT",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2012-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Coombs Ostler, MD
• Jean-Luc Padley, MAMFT
• Renee Lyn Parson, L.M.P.
• Derek T Pawlak, LD
• Lydia Peckover
• Permen Chiropractic PLLC
• John Bruce Permen, D.C.
• Joyce Elizabeth Permen, D.C.
• Vera Pluschakov
• Premere Rehab LLC

• Physical Therapist in Lynden, WA
• Providers in Lynden, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.