Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKY PENG
ActiveJACKY PENG is a Physical Therapy Assistant healthcare provider located in BRENTWOOD, California. NPI 1508604489 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · BRENTWOOD, CA
Registration Details
- NPI Number
- 1508604489
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2024 (1.8982242853047 yrs)
- Last Updated
- Nov 18, 2025
- License
-
306189 (CA)
Practice Information
- Address
-
101 SAND CREEK RD STE ABRENTWOOD, CA, 945132539Browse CA providers · Browse ZIP 94513
- Phone
- 9259398585
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in BRENTWOOD, CA
| Name | Credential | NPI |
|---|---|---|
| LINDSAY JOHNSON | M.P.T. | 1164484077 |
| MS. KATIE EILEEN BURCH | P.T. | 1235169327 |
| MR. NORMAN GREG HART | P.T. | 1568534550 |
| MS. ROCHELLE BRUCKER | P.T. | 1194885889 |
| MISS LONNI ROSE STANTON | PT | 1447468806 |
| NILISHA MIKKLINENI | P.T. | 1376863290 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.