Individual provider Active NPI

Jenna Tarran, DPT

  • Physical Therapist
  • St Charles, IL
National Provider Identifier
1003456856
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.024895 Issued in IL
Practice address
9 N 2ND St
St Charles, IL 60174-1869
Phone
(630) 526-4200
Fax
(630) 526-4201
NPI assigned
Jan 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.024895 IL Primary

Addresses

Primary practice location

9 N 2ND St
St Charles, IL 60174-1869

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644

Other practice location 1

1101 31st St Ste 180
Downers Grove, IL 60515-5630
Phone (630) 423-7199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115002469 IL Practitioner - Physical Therapist in Private Practice 7719334549 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Bone and Joint Institute, LLCGroup PAC ID 6002814878, 603 clinicians

Practice addresses (Care Compare)

900 Rand Rd
Suite 100
Des Plaines, IL 60016-2359
Phone (847) 954-7600

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
87.86
Improvement activities
40
Cost
61.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.024895ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Nov 3, 2023 Accepting new patients
Illinois Bone and Joint Institute LLC CurrentSince Jan 27, 2025 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Jan 27, 2025 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Nov 3, 2023 Accepting new patients
Within Reach Health LLC Physical Therapist PastSince Jan 19, 2020 Accepting new patients

Locations

3973 W Algonquin Rd
Algonquin, IL 60102
Phone (224) 348-7600

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

5057 Paysphere Cir
Chicago, IL 60674

10801 S Western Ave
Chicago, IL 60643
Phone (773) 445-4200

900 Rand Rd
Ste 110
Des Plaines, IL 60016
Phone (847) 354-7646

900 Rand Rd
Ste 100
Des Plaines, IL 60016
Phone (847) 954-7600

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

431 Lakeview Ct
Ste E
Mt Prospect, IL 60056
Phone (847) 749-3160

7115 Barry St
Rosemont, IL 60018
Phone (847) 725-2450

9 N 2nd St
St Charles, IL 60174
Phone (630) 526-4200

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1003456856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644",
            "fax_number": "586-541-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N 2ND ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601741869",
            "telephone_number": "630-526-4200",
            "fax_number": "630-526-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 31st St Ste 180",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605155630",
            "country_code": "US",
            "telephone_number": "630-423-7199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARRAN",
        "first_name": "JENNA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.024895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.