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Jeremy Smith
Sports Physical Therapist in Lake Forest, Illinois
NPI 1184830812

Jeremy Smith is a Sports Physical Therapist based in Lake Forest, IL and is specialized in Sports. Jeremy Smith practices in Lake Forest, IL. The NPI Number for Jeremy Smith is 1184830812 and holds a License No. 096.002695 (Illinois).

The current practice location address for Jeremy Smith is 1920 Football Dr, Lake Forest, IL and can be reached out via phone at 847-739-5405.

Location: 1920 Football Dr, Lake Forest, IL, 60045-4829
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184830812
Provider Name
Jeremy Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
1920 Football Dr, Lake Forest, IL, 60045-4829
Phone Number
847-739-5405
Fax Number
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
070.016666 01 IL ILLINOIS STATE LICENSE
070.016666 01 IL IL LICENSE PT
096.002695 01 IL ILLINOIS STATE LICENSE
096.002695 01 IL IL LICENSE ATC
institution
Provider Business Practice Location Address Details
Address
1920 Football Dr
City
Lake Forest
State
Illinois
Zip
60045-4829
Phone Number
847-739-5405
Fax Number
person
Provider Business Mailing Address Details
Address
1920 Football Dr
City
Lake Forest
State
Illinois
Zip
60045-4829
Phone Number
847-739-5405
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Sports
Taxonomy
2251S0007X
License No.
070.016666 (Illinois)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Specialist/Technologist
Speciality
Athletic Trainer
Taxonomy
2255A2300X
License No.
096.002695 (Illinois)
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
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