Jenelle Deatherage, PT
NPI 1720090830 · Physical Therapist · Peoria, IL
Jenelle Deatherage, PT is a Physical Therapist provider in Peoria, IL (NPI 1720090830).
Provider details
- NPI number
- 1720090830
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 7357 (MN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
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
19 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
- 2006-08-13
- Last updated
- 2014-06-26
Frequently asked questions
- What is Jenelle Deatherage's NPI number?
- Jenelle Deatherage's National Provider Identifier (NPI) is 1720090830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jenelle Deatherage's specialty?
- Jenelle Deatherage is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jenelle Deatherage located?
- Jenelle Deatherage's practice location on file with NPPES is 9901 N Knoxville Ave, Peoria, IL 61615-1429.
- What is Jenelle Deatherage's phone number?
- The practice phone number listed in the NPPES registry for Jenelle Deatherage is (309) 243-1989.
- Is Jenelle Deatherage's NPI active?
- Yes — Jenelle Deatherage's NPI (1720090830) is active in the NPPES registry as of the last update on 2014-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.