Jennifer Renee Webb, MPT
Individual provider Active NPI Physical Therapist · Normal, IL
NPI 1083961999 · NPPES record last updated Aug 9, 2012
Key facts
- NPI
- 1083961999
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070013055 (IL)
- Practice address
- 211 Landmark Dr Ste E3
Normal, IL 61761-6165 - Phone
- (309) 663-4900
- Fax
- (309) 663-4197
- NPI assigned
- Aug 9, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Illinois Institute of Balance LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070013055 | IL | Yes |
Addresses
Primary practice location
211 Landmark Dr Ste E3
Normal, IL 61761-6165
Mailing address
211 Landmark Dr Ste E3
Normal, IL 61761-6165
Phone (309) 663-4900
Other providers in Normal, IL
- Britta Warren
- Diane L Waters
- Emily Watson
- Brigitte Corinne Watters
- Sylke Weaver
- Michelle Webster
- Cassia Weigel
- Glenn L Weiss
- Elaine Welch
- Sarah Anne Cary Welsh
All providers in Normal, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.