Jennifer K Stickel, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070003917 Issued in IL

Practice address

200 Ace Rd Ste 2
Princeton, IL 61356-8644

Phone

(815) 875-4441

Fax

(815) 875-7732

NPI assigned

Jun 17, 2008

Last updated

Jun 17, 2008By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DPT Holdings, LLC

  dba Doctors of Physical Therapy

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602
  NPD

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1376704908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ACE RD STE 2",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613568644",
            "telephone_number": "815-875-4441",
            "fax_number": "815-875-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ACE RD STE 2",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613568644",
            "telephone_number": "815-875-4441",
            "fax_number": "815-875-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKEL",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070003917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Smith, LPC
• Jenna Sobin
• Madison Solomon, PT, DPT
• St Margaret's Hospital (SMH Center for Fam Health)
• St. Margaret's Health - Spring Valley
• Barbara J Swalve Everett, D.C.
• Ariel E Swanson, LCSW
• Jonathan T Sydlowski, PT, DPT
• Jennifer Nicole Szydlowski, PT
• Jamie L Taylor, LCPC

• Physical Therapist in Princeton, IL
• Providers in Princeton, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.