Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jennifer Shambaugh, PTA

Physical Therapy Assistant in Peoria, IL · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417122201

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Registry record

Entity type Individual (Type 1)

Name Jennifer Shambaugh

Credential PTA

Sex Female

Practice address 6501 N Sheridan Rd, Peoria, IL, 61614

Phone (309) 692-8110

Enumeration date Apr 23, 2008

Last updated in NPPES Apr 23, 2008

Taxonomy & licenses

225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 160.001414 (IL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jennifer Shambaugh practice?

The practice location on file with NPPES is in Peoria, IL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Jennifer Shambaugh?

The National Provider Identifier (NPI) for Jennifer Shambaugh is 1417122201, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-04-23.