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

Jennifer Bazan, DPT

Individual provider Physical Therapist · NPI 1366585101

Jennifer Bazan, DPT is a Physical Therapist in Private Practice in New Lenox, Illinois. Graduated from Washington University School of Medicine in 2004, 22 years ago. Practices with Theracore, Inc, a 7-clinician group. Licensed in Illinois.

Years since qualifying
22
Trained at
Washington University School of Medicine
Licensed in
IL
In the registry since
2007
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

1938 E Lincoln Hwy Ste 111
New Lenox, IL 60541
Phone: (815) 485-2916
Fax: (815) 485-2918
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IL)

Record details

NPI number1366585101
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 14, 2007
Last updated in NPPESJuly 12, 2007
Mailing address1938 E Lincoln Hwy, Suite 111, New Lenox, IL 60451-3810

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Theracore, Inc. — 7 clinicians
Accepts Medicare assignment Not indicated

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