Jennifer Teich, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160006056 Issued in IL

Practice address

327 Gundersen Dr Ste C
Carol Stream, IL 60188-2453

Phone

(630) 784-3251

Fax

(630) 665-8188

NPI assigned

Mar 11, 2016

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": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1700247251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 GUNDERSEN DR STE C",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882453",
            "telephone_number": "630-784-3251",
            "fax_number": "630-665-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEICH",
        "first_name": "JENNIFER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160006056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymundo Bernardo Tad-Y Jr., LCPC, NCE, NCSC
• Nicole Jean Talsma, MS
• Douglas Tansor Jr., D.C.
• Brandon Mitchell Taylor, D.C.
• Justin Michael Taylor, D.C.
• The Carlton Center Inc
• The Carlton Center Inc
• The Evangelical Alliance Mission
• Robin E Theis, OTR/L
• Philip Edward Thomas, RPH

• Physical Therapy Assistant in Carol Stream, IL
• Providers in Carol Stream, 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 Mar 11, 2016; 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.