JENNIFER MARIE WILLIAMS (PT, DPT) – Physical Therapist, NPI 1609355445

JENNIFER MARIE WILLIAMS (PT, DPT) is a healthcare provider. based in Fort wayne, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 05013099A (IN). The NPI Number for JENNIFER MARIE WILLIAMS (PT, DPT) is 1609355445

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER MARIE WILLIAMS (PT, DPT)
NPI
1609355445
Phone
(260) 489-2552
Address
1010 W Washington Center Rd
Enumeration Date
13 August 2018
Last Update Date
27 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2247835000
Graduation Year
2018 (8 years ago)
PAC ID
7012324031
Group Practice PAC ID
7810800935
Professional Enrollment ID
I20210318000685
Address ID
IL601773354SO486XXRDXX301

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
jwilliams423712@direct.myadvocateaurora.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Other namesUpdated within 12 months

1,866 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for JENNIFER MARIE WILLIAMS (PT, DPT)

  • 1010 W Washington Center Rd

    Fort Wayne, IN 468254155

    Phone: (260) 489-2552

    Type: Location

  • 1865 E Belvidere Rd

    Grayslake, IL 60030

    Phone: (847) 548-7000

    Type: Location

  • 29373 NETWORK PL

    CHICAGO, IL 606731293

    Phone: (847) 390-5900

    Fax: (847) 390-4757

    Type: Mailing

  • 1865, East Belvidere Road, Grayslake, Lake County, Illinois, 60030, United States

    GRAYSLAKE, IL 60030

    Phone: (847) 548-7000

    Type: Location

  • 877, Saugatuck Trail, Vernon Hills, Lake County, Illinois, 60061, United States

    VERNON HILLS, IL 600613244

    Phone: (224) 358-6163

    Type: Mailing

  • 486 RANDALL RD UNIT B

    SOUTH ELGIN, IL 601773354

    Phone: (224) 783-6128

    Fax: (224) 783-2131

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210318000685IPhysical Therapist In Private PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46825)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810800935View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to JENNIFER MARIE WILLIAMS (PT, DPT)?
The federal identifier for JENNIFER MARIE WILLIAMS (PT, DPT) is NPI 1609355445.
Is JENNIFER MARIE WILLIAMS (PT, DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize JENNIFER MARIE WILLIAMS (PT, DPT)'s specialty in plain language?
Clinically, the directory lists JENNIFER MARIE WILLIAMS (PT, DPT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is JENNIFER MARIE WILLIAMS (PT, DPT)'s primary listing?
We display Fort Wayne, Indiana because that is what the record indicates for JENNIFER MARIE WILLIAMS (PT, DPT).
What if Fort Wayne, Indiana seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

PETER A PAONESSA (P.T.)

Physical Therapist
7601, West Jefferson Boulevard, Times Corner, Fort Wayne, Allen County, Indiana, 46804, United States
NPI: 1013910934

JASON HAZELETT (PT)

Physical Therapist
Fairfield Avenue, Lincolnshire, Hillcrest, Fort Wayne, Allen County, Indiana, 46807, United States
NPI: 1346247681

CHAD E PARENT (PT)

Physical Therapist
2526, Sheridan Road, Sunnymede Woods, Fort Wayne, Allen County, Indiana, 46803, United States
NPI: 1306845797

CYNTHIA C TOLL (PT)

Physical Therapist
2526, Sheridan Road, Sunnymede Woods, Fort Wayne, Allen County, Indiana, 46803, United States
NPI: 1114926516

Turnstone

Physical Therapist
3320, North Clinton Street, Fort Wayne, Allen County, Indiana, 46805, United States
NPI: 1437158722

JULIE HERMAN (P.T.)

Physical Therapist
11109 PARKVIEW PLAZA DR # 117
NPI: 1902805351

CAROL S. BENNETT (P.T.)

Physical Therapist
2526, Sheridan Road, Sunnymede Woods, Fort Wayne, Allen County, Indiana, 46803, United States
NPI: 1649279993

THERESA M SPADE (PT)

Physical Therapist
2526, Sheridan Road, Sunnymede Woods, Fort Wayne, Allen County, Indiana, 46803, United States
NPI: 1982605804