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

Jennifer Shambaugh, PTA

Individual provider Physical Therapy Assistant · NPI 1417122201

Jennifer Shambaugh, PTA is a Physical Therapy Assistant in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
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

6501 N Sheridan Rd
Peoria, IL 61614-2932
Phone: (309) 692-8110
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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 160.001414 (IL)

Record details

NPI number1417122201
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 23, 2008
Last updated in NPPESApril 23, 2008

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