Jacqueline Sue O'Connor, PT
Individual provider Active NPI Physical Therapist · Seneca, IL
NPI 1497943328 · NPPES record last updated Oct 4, 2007
Key facts
- NPI
- 1497943328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 150 E Lincoln St
Seneca, IL 61360-9426 - Phone
- (815) 260-6880
- NPI assigned
- Oct 4, 2007
- 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 |
|---|---|---|---|
| 070012017 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Yes |
Addresses
Primary practice location
150 E Lincoln St
Seneca, IL 61360-9426
Mailing address
150 E Lincoln St
Seneca, IL 61360-9426
Phone (815) 260-6880
Other providers in Seneca, IL
- KND Health Care Services
- KND Health Care Services SC
- Mels Mission PLLC
- Mindful Matters Personal Wellness
- Mindful Speech and Yoga, PLLC
- Elizabeth Peterson
- Seneca Comm Cons SCH Dist 170
- Seneca Smiles, LTD
- Seneca TWP HS Dist 160
- Seneca Volunteer Ambulance Squad
All providers in Seneca, 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 Oct 4, 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.