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

Mrs. Theresa Marie McCollom, PTA

Individual provider Physical Therapy Assistant · NPI 1366695405

Mrs. Theresa Marie McCollom, PTA is a Physical Therapy Assistant in Hazel Crest, 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.

See every abbreviation used in this directory →

Practice location Address checks out

17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Phone: (708) 213-3829
Fax: (708) 422-1812
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 160005041 (IL)

Record details

NPI number1366695405
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedNovember 3, 2008
Last updated in NPPESFebruary 26, 2022
Certification dateFebruary 17, 2022

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