Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jennifer Lynn Wallenberg, PT, DPT, PCS

Individual provider Physical Therapist · NPI 1104121904

Mrs. Jennifer Lynn Wallenberg, PT, DPT, PCS is a Physical Therapist in Trenton, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2011
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

127 W Broadway
Trenton, IL 62293-1305
Phone: (708) 465-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.017195 (IL)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1104121904
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , PCS
Sole proprietorYes
NPI enumeratedJanuary 26, 2011
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

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