Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY SHOUP
Active Sole ProprietorJEREMY SHOUP is a Physical Therapy Assistant healthcare provider located in WARRENVILLE, Illinois. NPI 1366026551 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · WARRENVILLE, IL
Registration Details
- NPI Number
- 1366026551
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2021 (5.0771126874373 yrs)
- Last Updated
- May 12, 2021
- License
-
070.023927 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
27650 FERRY RDWARRENVILLE, IL, 605553845Browse IL providers · Browse ZIP 60555
- Phone
- 6303151522
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in WARRENVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| PAMELA SMITH | PT | 1164409397 |
| AGNES A CASSIDY | PT | 1336191113 |
| CATHERINE J HOLLAND | PT | 1871547778 |
| LISA L GIERCZAK | PT | 1134175375 |
| KIMBERLY L LUEKEN | PT | 1508813882 |
| KRISTIN A SIEBERT | PT | 1982644159 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.