Individual provider Active NPI

Jena Tressler

  • Physical Therapy Assistant
  • Chester, IL
National Provider Identifier
1174195358
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160008098 Issued in IL
Practice address
833 Lehmen Dr
Chester, IL 62233-1263
Phone
(618) 826-4588
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160008098 IL Primary

Addresses

Primary practice location

833 Lehmen Dr
Chester, IL 62233-1263

Mailing address

833 Lehmen Dr
Chester, IL 62233-1263
Phone (618) 826-4588

Other identifiers 1

IdentifierTypeStateIssuer
160008098OtherILPTA LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 07/15/2051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
160008098ILMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1174195358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 LEHMEN DR",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331263",
            "telephone_number": "618-826-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 LEHMEN DR",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331263",
            "telephone_number": "618-826-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRESSLER",
        "first_name": "JENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160008098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "160008098",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "07/15/2051",
            "affiliation": "N",
            "address_1": "833 Lehmen Dr",
            "city": "Chester",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622331263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.