Jamie Lyn Denwood, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160008350 Issued in IL

Practice address

1752 Windsor Rd
Loves Park, IL 61111-4280

Phone

(815) 977-3747

NPI assigned

Apr 5, 2023

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

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": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1316632482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10591 PALACE CT",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610739317",
            "telephone_number": "779-475-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 WINDSOR RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114280",
            "telephone_number": "815-977-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENWOOD",
        "first_name": "JAMIE",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160008350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kathryn Diemer
• Joseph L Digirolamo, DC
• David L Dimke, DMD
• Dna Health Services

• Physical Therapy Assistant in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.