Jacqueline Jones, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.025519 Issued in IL

Practice address

14327 S Provencal Dr
Homer Glen, IL 60491-7560

Phone

(708) 712-8935

NPI assigned

Nov 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606521600000",
    "number": "1114521390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14327 S PROVENCAL DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917560",
            "telephone_number": "708-712-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14327 S PROVENCAL DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917560",
            "telephone_number": "708-712-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JACQUELINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-28",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.025519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://login.optimahcs.com/",
            "affiliation": "Y",
            "affiliationName": "Select Rehabilitation, LLC",
            "address_1": "4310 Forest Hill Dr",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220305680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Jo Jatis, OTR/L
• Jean M. Garbolski DO SC
• Jamie L Johnson
• Jay Johnson, MPT
• Suzanne L Johnson, MS-CCC SLP
• Crystal Jacinda Joseph
• Pooja Joshi, M.A., LPC, NCC
• Joyce Rheinheimer PHD & Associates LTD
• Anne Kaeding
• Jenna Kane

• Physical Therapist in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.