Jennifer Marie Phillips, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.000906 Issued in IL

Practice address

538 County Road 550 E
Toledo, IL 62468-4049

Phone

(217) 895-2441

NPI assigned

Aug 12, 2008

Last updated

Aug 12, 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1760638621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 COUNTY ROAD 550 E",
            "city": "TOLEDO",
            "state": "IL",
            "postal_code": "624684049",
            "telephone_number": "217-895-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 COUNTY ROAD 550 E",
            "city": "TOLEDO",
            "state": "IL",
            "postal_code": "624684049",
            "telephone_number": "217-895-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.000906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chasity Jean Dunaway, MS, LCPC, CADC
• Jill M Mathenia
• Moore Family Stores Inc. (Toledo Pharmacy)
• William Arthur Nebel, R.PH.
• Noble Health Associates LLC
• Debra F Stinson, LCSW
• Toledo Area Emergency Ambulance Service Inc (Toledo Area Ambulance Service)
• Adree Venatta, MD
• Troy Layne Warner, D.C.
• Cheryl Wilson, R.N.

• Physical Therapy Assistant in Toledo, IL
• Providers in Toledo, 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 Aug 12, 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.