Jennifer Shambaugh, PTA
NPI 1417122201 · Physical Therapy Assistant · Peoria, IL
Jennifer Shambaugh, PTA is a Physical Therapy Assistant provider in Peoria, IL (NPI 1417122201).
Provider details
- NPI number
- 1417122201
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 160.001414 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-04-23
- Last updated
- 2008-04-23
Frequently asked questions
- What is Jennifer Shambaugh's NPI number?
- Jennifer Shambaugh's National Provider Identifier (NPI) is 1417122201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Shambaugh's specialty?
- Jennifer Shambaugh is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jennifer Shambaugh located?
- Jennifer Shambaugh's practice location on file with NPPES is 6501 N Sheridan Rd, Peoria, IL 61614-2932.
- What is Jennifer Shambaugh's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Shambaugh is (309) 692-8110.
- Is Jennifer Shambaugh's NPI active?
- Yes — Jennifer Shambaugh's NPI (1417122201) is active in the NPPES registry as of the last update on 2008-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.