Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Ann Blaser, PTA

Individual provider Physical Therapy Assistant · NPI 1992181796

Jennifer Ann Blaser, PTA is a Physical Therapy Assistant in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4401 N Main St
Rockford, IL 61103-1277
Phone: (779) 771-6866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160006093 (IL)

Record details

NPI number1992181796
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 4, 2015
Last updated in NPPESAugust 4, 2015
Mailing addressW7518 Melvin Rd, Browntown, WI 53522-9709

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