Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Beverly Jamison Pennicooke, PTA

Individual provider Physical Therapy Assistant · NPI 1245605005

Mrs. Beverly Jamison Pennicooke, PTA is a Physical Therapy Assistant in Long Beach, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

330 Golden Shore Dr
Long Beach, CA 90802
Phone: (562) 256-7550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence AT3766 (CA)

Record details

NPI number1245605005
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedDecember 4, 2015
Last updated in NPPESDecember 4, 2015

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