Nicollette Penner, DPT
Physical Therapist · San Diego, CA
Nicollette Penner, DPT is a physical therapist with a practice address in San Diego, California, and NPI 1174155568, issued on Feb 4, 2020. Check the license (California 292631, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Nicollette Penner
- Credential
- DPT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- 292631 CA
Self-reported in NPPES; status is on the state search - Practice location
- 15004 Innovation Drive, San Diego, CA 92128
- Phone
- (858) 605-7189
- Enumerated
- Feb 4, 2020
- Record last updated
- Feb 4, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20260120001013); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 22,531 in California → Look up another NPI →
Also registered at 15004 Innovation Drive
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Chelsea Cavignac, PA-CMedical Physician Assistant1033595525
- Daniel Lichtmann, M.D.Pediatrics Physician1154683043
- Govinder Sohal, FNPFamily Nurse Practitioner1497226062
- Wendy Wynveen, P.T.Physical Therapist1710341375
Verify Nicollette Penner in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 292631Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Gtms Fitness CorporationMurrieta, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nicollette Penner among 22,531 physical therapist records in California
Nicollette Penner, DPT is one of 22,531 physical therapist records with a practice address in California. 32% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 69% of them.
- NPI issued2020 · 69% of these records are older, 27% newer
- In a Medicare fileYes · 32% of these records are
- In the CMS Doctors and Clinicians fileYes · 34% of these records are
- Graduated2016 · median 2017 among the 7,751 with a school on file
- Record last updated2020 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,382 physical therapist records list a practice address in San Diego
They are 1,382 of the 52,937 NPPES records with a practice address in San Diego, and 22,531 physical therapist records in California.
All 22,531 in California → Every provider in San Diego → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Michael Borders, P.T.San Diego, CA 921281518986900
- Ryann Cacciotti, PTSan Diego, CA 921281083936249
- Julie Coffman, PT, CWSSan Diego, CA 921281790802585
- Harini Desai, PTSan Diego, CA 921281386994705
- Kasha Farahani, DPTSan Diego, CA 921281902026040
- Bonnie Haupt, P.T.San Diego, CA 921281437244779
- Ted HuangSan Diego, CA 921281770869141
- Vanessa Jackson, P.T.San Diego, CA 921281376739615
Common questions
What is Nicollette Penner, DPT's NPI number?
Nicollette Penner, DPT's National Provider Identifier (NPI) is 1174155568, issued on Feb 4, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Nicollette Penner, DPT located?
The NPPES record lists a practice address at 15004 Innovation Drive, San Diego, CA, 92128. Phone: (858) 605-7189. Providers update this record themselves, so call before visiting.
How can I verify Nicollette Penner, DPT's license?
NPPES lists California license number 292631, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.