IndividualActive
Jennifer Daniell Pentrack, PT
NPI 1366770992 · Physical Medicine & Rehabilitation Physician · Mount Shasta, CA
Provider details
- NPI number
- 1366770992
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 118190 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
633 Lassen Ln
Mount Shasta, CA 96067-9002
Phone: (530) 926-6010
Fax: (530) 926-6909
Street-level locationGet directions
Mailing address
633 Lassen Ln
Mount Shasta, CA 96067-9002
Registry dates
- Enumerated
- 2009-11-19
- Last updated
- 2009-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.