MRS. JEANNETT M. PENNER (M.P.T.) – Physical Therapist, NPI 1295980704

MRS. JEANNETT M. PENNER (M.P.T.) is a healthcare provider. based in Lynden, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials M.P.T.. They hold a License No. PT00007467 (WA). The NPI Number for MRS. JEANNETT M. PENNER (M.P.T.) is 1295980704

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JEANNETT M. PENNER (M.P.T.)
NPI
1295980704
Phone
(360) 354-1115
Address
8862 BENDER ROAD
Enumeration Date
25 November 2008
Last Update Date
7 May 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603541115
Graduation Year
1997 (29 years ago)
PAC ID
1355505314
Group Practice PAC ID
0446414403
Professional Enrollment ID
I20121126000534
Address ID
WA982268695BE3111XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for MRS. JEANNETT M. PENNER (M.P.T.)

  • Nami Asian Bistro, 8862, Bender Road, Lynden, Whatcom County, Washington, 98264, United States

    SUITE 101

    LYNDEN, WA 98264

    Phone: (360) 354-1115

    Fax: (360) 354-0321

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121126000534IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes50086$0
97140Therapy procedure using manual technique, each 15 minutes27748$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes23457$0
97530Therapy procedure using functional activities17549$0
97161Evaluation for physical therapy, typically 20 minutes3029$0
View full utilization report →

Insurance plans in this area (ZIP 98264)

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Provider's Procedures

MRS. JEANNETT M. PENNER (M.P.T.) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYWA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes63359

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446414403View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Occupational Therapist In Private PracticeWA
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeBRITISH COLUMBIA
-WA
Physical Therapist In Private PracticeWA
-WA

Reviews

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Frequently asked questions

How is MRS. JEANNETT M. PENNER (M.P.T.) identified in CMS data?
CMS-hosted NPPES data lists MRS. JEANNETT M. PENNER (M.P.T.) with NPI 1295980704.
Does CMS list MRS. JEANNETT M. PENNER (M.P.T.) as active?
Yes — MRS. JEANNETT M. PENNER (M.P.T.) is active in the NPI listing used on this page.
What is MRS. JEANNETT M. PENNER (M.P.T.)'s specialty?
The listing groups MRS. JEANNETT M. PENNER (M.P.T.) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does MRS. JEANNETT M. PENNER (M.P.T.) serve?
MRS. JEANNETT M. PENNER (M.P.T.)'s listing highlights Lynden, Washington; more addresses can appear in NPPES.
Is the information about MRS. JEANNETT M. PENNER (M.P.T.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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