Individual provider · Type 1 NPI

Jennifer Lynne Smith, PTA, ATC, NCMT

Physical Therapy Assistant · Sandwich, IL

NPI number 1104077015 Active

Practice location

1310 N Main St Ste 100
Sandwich, IL 60548-1394

Fax (815) 786-3603

Mailing address

1952 Aberdeen Ct
Sycamore, IL 60178-3175

Other practice locations

  • 2111 Midlands Ct, Sycamore, IL 60178-3125 · (815) 758-0000

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Physical Therapy Assistant Primary 225200000X160-007698 (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 …

6 other providers at this address

About NPI 1104077015

Jennifer Lynne Smith, PTA, ATC, NCMT's National Provider Identifier is 1104077015, issued on Oct 9, 2008. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Sandwich, IL. The record was last updated on Mar 17, 2018.