JENNIFER LEE PAULSEN-KELLER (NPI# 1932436474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932436474 |
| Entity Type | Individual |
| Full Name | JENNIFER LEE PAULSEN-KELLER |
| Credential | DPT |
| Practice Address |
89 Cedar Ave Lake Villa IL 60046-8411 |
| Mailing Address |
7230 51st Ave Kenosha WI 53142-3718 |
| Practice Telephone | 8472657300 |
| Practice Fax Number | 8472657301 |
| Mailing Telephone | 2627053590 |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2011-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
8714 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
89 CEDAR AVE |
| City | LAKE VILLA |
| State | IL |
| Zip Code | 60046-8411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710047964 | The Therapy Tree D.b.a. Birth To Three & Beyond Pediatric Therapies | Counselor | 89 Cedar Ave, Lake Villa, IL 60046-8411 | 2006-12-11 |
| 1093315905 | Ashley Perini | Counselor | 89 Cedar Ave, Lake Villa, IL 60046-8411 | 2020-10-29 |
| 1922625748 | Lisa Werner | Occupational Therapist | 89 Cedar Ave, Lake Villa, IL 60046-8411 | 2020-06-26 |
| 1689216079 | Michael Smith | Social Worker | 89 Cedar Ave, Lake Villa, IL 60046-8411 | 2019-10-17 |
| 1306400064 | Leah Baker | Speech-Language Pathologist | 89 Cedar Ave, Lake Villa, IL 60046-8411 | 2019-04-29 |
| 1548728165 | Jessica Werbie | Occupational Therapist | 89 Cedar Ave, Lake Villa, IL 60046-8411 | 2019-03-04 |
| 1033684006 | Chelsea Gahgan | Speech-Language Pathologist | 89 Cedar Ave, Lake Villa, IL 60046-8411 | 2018-10-05 |
| 1598245797 | Linnae Rutkowski | Counselor | 89 Cedar Ave, Lake Villa, IL 60046-8411 | 2018-08-16 |
| 1073017455 | Kathie Kennelly | Speech-Language Pathologist | 89 Cedar Ave, Lake Villa, IL 60046-8411 | 2018-03-21 |
| 1811425390 | Mary Elizabeth Hackel | Physical Therapist | 89 Cedar Ave, Lake Villa, IL 60046-8411 | 2017-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962021287 | Kathryn Anne Harper | Physical Therapist | 7900 Rollins Road, Lake Villa, ID 60046 | 2020-04-16 |
| 1508346263 | Milennium Medical Ltd | Nurse Practitioner | 2866 Falling Waters, Lindenhurst, IL 60046 | 2018-08-21 |
| 1497264121 | Gail Truger | Speech-Language Pathologist | 24750 W. Dering Lane, Lake Villa, IL 60046 | 2017-09-26 |
| 1104345669 | Tobias V Schirmer | Speech-Language Pathologist | Palombi Middle School, 133 South Mckinley, Lake Villa, IL 60046 | 2017-09-15 |
| 1699163410 | Daniel Aron Goldberg | Psychologist | 600 West Grand Avenue, Lake Villa, IL 60046 | 2014-12-31 |
| 1962838946 | Kendall Barber | Physical Therapist | 50 S Milwaukee Ave Ste 201, Lake Villa, IL 60046 | 2013-09-23 |
| 1790045284 | Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | 1025 Red Oak Lane, Suite 100, Lindenhurst, IL 60046 | 2012-05-18 |
| 1548534977 | Daniela Cvetkova | Counselor | 3021 Falling Waters, Lindenhurst, IL 60046 | 2012-03-02 |
| 1225310568 | Dimitrios George Tsakos | Pharmacist | 399 South Route 45, Lindenhurst, IL 60046 | 2011-09-13 |
| 1285933085 | Abigail Jean Bradley | Developmental Therapist | 87 Bridlepath Drive, Lindenhurst, IL 60046 | 2011-03-18 |
| Find all providers in zip 60046 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750411 | Crawl Walk Leap P.C. | Physical Therapist | 720 W Randolph St Apt 1103, Chicago, IL 60661-2171 | 2019-03-21 |
| 1912478777 | Elaine Rodriguez | Physical Therapist | 3332 N Kostner Ave, Chicago, IL 60641-4513 | 2018-12-05 |
| 1437625001 | Jennifer K. Buccelli, Mpt | Physical Therapist | 597 Plymouth Ct, Gurnee, IL 60031-3229 | 2018-10-22 |
| 1124511159 | Molly Victorine | Physical Therapist | 1375 Newcastle Ln, Hoffman Estates, IL 60169-1225 | 2018-06-13 |
| 1750896163 | Julie Ann Brady | Physical Therapist | 430 Nevada St, Frankfort, IL 60423-1565 | 2017-12-07 |
| 1467965939 | Carla Gain | Physical Therapist | 118 Westhaven School Rd, Belleville, IL 62220-3264 | 2017-11-07 |
| 1538678354 | Anita Tallegien Daneshdoost | Physical Therapist | 1725 Shomaker Drive, Murphysboro, IL 62966 | 2017-09-25 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1669915674 | Anna's Pediatric Physical Therapy LLC | Physical Therapist | 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 | 2016-11-22 |
| 1417409970 | Katherine Wolff | Physical Therapist | 12 N Kenilworth Ave, Mount Prospect, IL 60056-2232 | 2016-11-01 |
| Find all providers with the same taxonomy | ||||
| City | LAKE VILLA |
| Zip Code | 60046 |
Please comment or provide details below to improve the information on JENNIFER LEE PAULSEN-KELLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.