Jennifer Shambaugh in Peoria - Physical Therapy Assistant
Jennifer Shambaugh - NPI 1417122201
Jennifer Shambaugh is a Physical Therapy Assistant in Peoria, Illinois. Jennifer Shambaugh practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Jennifer Shambaugh is 1417122201. The last update date is 2008-04-23.
Jennifer Shambaugh's current location address is 6501 N Sheridan Rd, Peoria, Illinois. You can contact this provider via phone number 3096928110. The mailing address for Jennifer Shambaugh is 6501 N Sheridan Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Shambaugh |
|---|---|
| Address | 6501 N Sheridan Rd, Peoria, Illinois |
| Phone Number | 3096928110 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1417122201 |
|---|---|
| Provider Enumeration Date | 2008-04-23 |
| Last Updated Date | 2008-04-23 |
Provider Mailing Address Detail
| Address | 6501 N Sheridan Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616142932 |
| Phone Number | 3096928110 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 160.001414 |
|
Definition: (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 Post |
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Post Comment/ Review Below
What is the unique identifier code issued to Jennifer Shambaugh by the Centers for Medicare & Medicaid Services (CMS)?
The Jennifer Shambaugh has been assigned the NPI (National Provider Identifier) 1417122201. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Jennifer Shambaugh is located?
The Jennifer Shambaugh is situated at the following address: 6501 N Sheridan Rd, Peoria, IL, 616142932.
What is Jennifer Shambaugh's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jennifer Shambaugh is Physical Therapy Assistant, and the taxonomy code that categorizes this field of expertise is 225200000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1417122201 to Jennifer Shambaugh?
The Centers for Medicare & Medicaid Services assigned the 1417122201 to Jennifer Shambaugh on 2008-04-23.
When was the information pertaining to Jennifer Shambaugh most recently updated or revised?
The details related to Jennifer Shambaugh, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-23.
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