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JENNIFER K. BUCCELLI, MPT
NPI 1437625001
Physical Therapist - Pediatrics in Gurnee, IL

Active since October 22, 2018
597 PLYMOUTH CT, GURNEE, IL 60031(224) 628-4411 Get Directions Write a Review

NPPES record last updated: October 22, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jennifer K. Buccelli, Mpt NPPES

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

JENNIFER K. BUCCELLI, MPT (NPI 1437625001) is a healthcare organization registered as a pediatrics in Gurnee, Illinois and active in the NPI registry since October 2018. The organization lists Jennifer Kathleen Buccelli, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1437625001
Entity TypeOrganization
Primary Taxonomy2251P0200X
Legal Business NameJENNIFER K. BUCCELLI, MPT
Location Address597 PLYMOUTH CTGurnee, IL 60031-3229
Mailing Address597 Plymouth CtGurnee, IL 60031-3229 · (224) 628-4411
Phone(224) 628-4411
Organization SubpartNo
Authorized OfficialJennifer Kathleen BuccelliPhysical Therapist · (224) 628-4411
Enumeration DateOctober 22, 2018
✔ NPI 1437625001 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
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.
597 PLYMOUTH CT, Gurnee, IL 60031
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jennifer K. Buccelli, Mpt's NPI number?

The NPI number for Jennifer K. Buccelli, Mpt is 1437625001. It was assigned to this organization in the NPPES registry on October 22, 2018.

Where is Jennifer K. Buccelli, Mpt located?

Jennifer K. Buccelli, Mpt is located at 597 Plymouth Ct, Gurnee, IL 60031. The listed phone number is (224) 628-4411.

What is Jennifer K. Buccelli, Mpt's specialty?

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

When was this NPI record last updated?

The NPPES record for Jennifer K. Buccelli, Mpt was last updated on October 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.