Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeanette T. Barrack, PT

Individual provider Physical Therapist · NPI 1295940369

Jeanette T. Barrack, PT is a Physical Therapist in Private Practice in LA Mesa, California. Qualified in 1982, 44 years ago. Practices with Deason Inc, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
44
Licensed in
CA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5360 Jackson Dr
LA Mesa, CA 91942-6002
Phone: (616) 667-7000
Fax: (619) 667-4315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11265 (CA)

Record details

NPI number1295940369
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 11, 2007
Last updated in NPPESSeptember 8, 2020
Certification dateSeptember 8, 2020
Mailing address5360 Jackson Dr Ste 110, La Mesa, CA 91942-3012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Deason Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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