Jennifer Lynne Smith, PTA, ATC, NCMT
Physical Therapy Assistant · Sandwich, IL
Practice location
1310 N Main St Ste 100Sandwich, IL 60548-1394
- Phone
- (815) 786-6000
- Fax
- (815) 786-3603
NPI record
- NPI
- 1104077015
- Entity type
- Individual (Type 1)
- Enumeration date
- October 9, 2008
- Last updated
- March 17, 2018
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
160-007698 | IL |
| Rehabilitation Practitioner | 225400000X |
— | — |
Mailing address
1952 Aberdeen CtSycamore, IL 60178-3175
- Phone
- (815) 758-0000
- Fax
- (815) 748-3014
Other practice locations (1)
- 2111 Midlands Ct, Sycamore, IL 60178-3125 · (815) 758-0000
About Jennifer Smith
Jennifer Lynne Smith, PTA, ATC, NCMT is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1310 N Main St Ste 100, Sandwich, IL 60548-1394. The NPI number 1104077015 was assigned on October 9, 2008 and the record was last updated on March 17, 2018.
Jennifer Smith lists a license in the registry: #160-007698 (IL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jennifer Lynne Smith, PTA, ATC, NCMT?
The NPI number is 1104077015.
What is the phone number of Jennifer Smith?
The phone number listed for the practice location is (815) 786-6000.
Where is Jennifer Smith located?
1310 N Main St Ste 100, Sandwich, IL 60548-1394.
What is the taxonomy code for Jennifer Smith?
The primary taxonomy code is 225200000X – Physical Therapy Assistant; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.