Individual provider · Type 1 NPI

Jenissa Boneta

Physical Therapy Assistant · Crystal Lake, IL

NPI number 1659249886 Active

Practice location

820 E Terra Cotta Ave Ste 244
Crystal Lake, IL 60014-3655

Call (815) 354-8200 Map

Mailing address

86 Durango Ct
Gilberts, IL 60136-4087

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XNone listed

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 1659249886

Jenissa Boneta's National Provider Identifier is 1659249886, issued on Oct 28, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Crystal Lake, IL. The record was last updated on Oct 30, 2025.