Individual provider · Type 1 NPI

Jennifer Vidican

Physical Therapy Assistant · Shorewood, IL

NPI number 1013882091 Active

Practice location

710 W Black Rd
Shorewood, IL 60404-8400

Mailing address

25184 Faraday Rd
Manhattan, IL 60442-6216

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160007824 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1013882091

Jennifer Vidican's National Provider Identifier is 1013882091, issued on Oct 8, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Shorewood, IL. The record was last updated on Oct 9, 2025.