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

Jennifer Richardson, PTA

Individual provider Physical Therapy Assistant · NPI 1770626566

Jennifer Richardson, PTA is a Physical Therapy Assistant in Bannockburn, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
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

2211 Waukegan Rd
Bannockburn, IL 60015-1570
Phone: (847) 267-8600
Fax: (847) 267-9520
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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 (IL)

Record details

NPI number1770626566
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 14, 2007
Last updated in NPPESJuly 8, 2007

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