Jennifer Marie Phillips, PTA
Individual provider Active NPI Physical Therapy Assistant · Toledo, IL
NPI 1760638621 · NPPES record last updated Aug 12, 2008
Key facts
- NPI
- 1760638621
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160.000906 (IL)
- Practice address
- 538 County Road 550 E
Toledo, IL 62468-4049 - Phone
- (217) 895-2441
- NPI assigned
- Aug 12, 2008
- 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 |
|---|---|---|---|
| 160.000906 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.000906 | IL | Yes |
Addresses
Primary practice location
538 County Road 550 E
Toledo, IL 62468-4049
Mailing address
538 County Road 550 E
Toledo, IL 62468-4049
Phone (217) 895-2441
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- Debra F Stinson
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- Adree Venatta
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All providers in Toledo, 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 12, 2008. 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.