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

Mrs. Jennifer L. Southern, PTA

Individual provider Physical Therapy Assistant · NPI 1790170884

Mrs. Jennifer L. Southern, PTA is a Physical Therapy Assistant in Bedford, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
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

3008 Shawnee Dr S
Bedford, IN 47421-5282
Phone: (812) 275-2468
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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 06003081A (IN)

Record details

NPI number1790170884
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 6, 2015
Last updated in NPPESApril 6, 2015

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