Jennifer Blanchette, PT
Individual provider Active NPI Physical Therapist · Kankakee, IL
NPI 1235153370 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1235153370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 70 Meadowview Ctr
Kankakee, IL 60901-2047 - Phone
- (815) 933-7114
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160003663 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Yes |
Addresses
Primary practice location
70 Meadowview Ctr
Kankakee, IL 60901-2047
Mailing address
1426 Argyle LN N
Bourbonnais, IL 60914-5129
Other providers in Kankakee, IL
- Bipinchandra N Bhayani
- Joseph Bianka
- Shelby Elizabeth Billadeau
- Bipin N. Bhayani M.D.,S.C.
- Bipin N. Bhayani M.D.,S.C.
- Kaity Bobadilla
- Jacob Borrelli
- Katie Boudreau
- Karim H Bouferrache
- Nathan James Bowers
All providers in Kankakee, 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 Jul 8, 2007. 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.