Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Tiffany Shaunte Jackson-Ponder, PTA

Individual provider Physical Therapy Assistant · NPI 1932466455

MS. Tiffany Shaunte Jackson-Ponder, PTA is a Physical Therapy Assistant in Naperville, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
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

1136 N Mill St
Naperville, IL 60563-3577
Phone: (630) 355-3300
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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 160.005716 (IL)

Record details

NPI number1932466455
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedApril 22, 2012
Last updated in NPPESApril 22, 2012

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