Jessie Walk, PTA
Individual provider Active NPI Physical Therapy Assistant · Sigel, IL
NPI 1437877404 · NPPES record last updated Aug 16, 2022
Key facts
- NPI
- 1437877404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160.006876 (IL)
- Practice address
- 35 County Road 500 N
Sigel, IL 62462-2000 - Phone
- (217) 259-8596
- NPI assigned
- Aug 16, 2022
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160.006876 | IL | MD | Physical Therapy Assistant |
| 160006876 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160006876 | IL | |
| Physical Therapy Assistant | 225200000X | 160.006876 | IL | Yes |
Addresses
Primary practice location
35 County Road 500 N
Sigel, IL 62462-2000
Mailing address
35 County Road 500 N
Sigel, IL 62462-2000
Phone (217) 259-8596
Other providers in Sigel, IL
All providers in Sigel, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2022. 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.