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

Mrs. Jennifer Lynne Smith, PTA, ATC, NCMT

Individual provider Rehabilitation Practitioner · NPI 1104077015

Mrs. Jennifer Lynne Smith, PTA, ATC, NCMT is a Rehabilitation Practitioner in Sandwich, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

1310 N Main St Ste 100
Sandwich, IL 60548-1394
Phone: (815) 786-6000
Fax: (815) 786-3603
Show map & directions

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

Additional practice locations (1)

  • 2111 Midlands Ct, Sycamore, IL 60178-3125 — (815) 758-0000

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160-007698 (IL)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1104077015
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA , ATC , NCMT
Sole proprietorYes
NPI enumeratedOctober 9, 2008
Last updated in NPPESMarch 17, 2018