Nicollette Penner, DPT
NPI 1174155568 · Physical Therapist · San Diego, CA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicollette Penner, DPT is a Physical Therapist provider in San Diego, CA (NPI 1174155568).
Provider details
- NPI number
- 1174155568
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 292631 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-02-04
- Last updated
- 2020-02-04
- Certified
- 2020-02-04
Frequently asked questions
- What is Nicollette Penner's NPI number?
- Nicollette Penner's National Provider Identifier (NPI) is 1174155568, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicollette Penner's specialty?
- Nicollette Penner is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Nicollette Penner located?
- Nicollette Penner's practice location on file with NPPES is 15004 Innovation Drive, San Diego, CA 92128.
- What is Nicollette Penner's phone number?
- The practice phone number listed in the NPPES registry for Nicollette Penner is (858) 605-7189.
- Does Nicollette Penner accept Medicare?
- Nicollette Penner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicollette Penner's NPI active?
- Yes — Nicollette Penner's NPI (1174155568) is active in the NPPES registry as of the last update on 2020-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.