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

Jessica Wallbaum

Individual provider Physical Therapy Assistant · NPI 1962969246

Jessica Wallbaum is a Physical Therapy Assistant in Streator, Illinois. Licensed in Illinois. Registered with an NPI since 2019.

Licensed in
IL
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1525 E Main St
Streator, IL 61364-3162
Phone: (815) 672-4516
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160008001 (IL)
Physical Therapy Assistant Taxonomy 225200000X · Licence 160.008001 (IL)

Record details

NPI number1962969246
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 22, 2019
Last updated in NPPESFebruary 22, 2019
Mailing address1525 E Main St, Streator, IL 61364-3162

Other providers in Streator