JACALYN ANN DERENGOWSKI P.T.
NPI 1306974811
Physical Therapist - Pediatrics in Park Ridge, IL

Q: What is Jacalyn Derengowski's NPI number?

The NPI number for Jacalyn Derengowski is 1306974811. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Q: What is Jacalyn Derengowski's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Active since February 28, 2007

1675 DEMPSTER ST FL 3, PARK RIDGE, IL 60068(847) 318-9330 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacalyn Ann Derengowski P.t. NPPES

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

JACALYN ANN DERENGOWSKI P.T. (NPI 1306974811) is an individual pediatrics provider in Park Ridge, Illinois, licensed in Illinois (070-010332) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1306974811

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameJACALYN ANN DERENGOWSKICredential: P.T.

Location Address1675 DEMPSTER ST FL 3Park Ridge, IL 60068-1110

Mailing Address29373 Network PlChicago, IL 60673-6714 · (847) 390-5900

Phone(847) 318-9330

Sole ProprietorYes

Enumeration DateFebruary 28, 2007

Last NPPES UpdateOctober 6, 2022

NPPES CertifiedOctober 6, 2022

✔ NPI 1306974811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in IL · 070-010332

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

1675 DEMPSTER ST FL 3, Park Ridge, IL 60068

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 20

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

MELISSA LIEBERMAN

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