Healthcare Provider Details

I. General information

NPI: 1811846413
Provider Name (Legal Business Name): JL PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

641 W STEPHENSON ST
FREEPORT IL
61032-5005
US

IV. Provider business mailing address

641 W STEPHENSON ST
FREEPORT IL
61032-5005
US

V. Phone/Fax

Practice location:
  • Phone: 815-499-0084
  • Fax: 815-233-0585
Mailing address:
  • Phone: 815-499-0084
  • Fax: 815-417-9288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: JENNIFER LEE LOEFFLER
Title or Position: PHYSICAL THERAPIST/OWNER
Credential: PT, MPT, DPT
Phone: 815-499-0084