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JEREMY SMITH
NPI 1184830812
Physical Therapist - Sports in Lake Forest, IL

Active since May 16, 2007
1920 FOOTBALL DR, LAKE FOREST, IL 60045(847) 739-5405 Get Directions Write a Review

NPPES record last updated: August 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Smith NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY SMITH (NPI 1184830812) is an individual sports provider in Lake Forest, Illinois, licensed in Illinois (070.016666) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1184830812
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameJEREMY SMITH
Location Address1920 FOOTBALL DRLake Forest, IL 60045-4829
Mailing Address1920 Football DrLake Forest, IL 60045-4829 · (847) 739-5405
Phone(847) 739-5405
Sole ProprietorNo
Enumeration DateMay 16, 2007
Last NPPES UpdateAugust 18, 2013
✔ NPI 1184830812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in IL · 070.016666
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 096.002695 (IL)
1920 FOOTBALL DR, Lake Forest, IL 60045
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Other Identifiers 4

Other070.016666IL · Illinois State License
Other070.016666IL · Il License Pt
Other096.002695IL · Il License Atc
Other096.002695IL · Illinois State License

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH ARIEL GARCIA MS, ATC, LAT
Specialist/Technologist (Athletic Trainer)
1920 FOOTBALL DR
LAKE FOREST, IL 60045
Lake County (847) 615-2327
ADAM LAVAN
Specialist/Technologist (Athletic Trainer)
1920 FOOTBALL DR
LAKE FOREST, IL 60045
Lake County (850) 324-3085
WILLIAM TEMPLE NEWING ROGERS ATC
Specialist/Technologist (Athletic Trainer)
1920 FOOTBALL DR, HALAS HALL AT CONWAY PARK
LAKE FOREST, IL 60045
Lake County (847) 739-5400
SIDNEY DREYER MS, ATC
Preventive Medicine (Sports Medicine)
1920 FOOTBALL DR
LAKE FOREST, IL 60045
Lake County (847) 739-5403

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Smith's NPI number?

The NPI number for Jeremy Smith is 1184830812. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Jeremy Smith located?

Jeremy Smith practices at 1920 Football Dr, Lake Forest, IL 60045. The listed phone number is (847) 739-5405.

What is Jeremy Smith's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Jeremy Smith was last updated on August 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.