Active NPI
Andrea M Martell, MPT
- Physical Therapist
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070012436
- Practice address
- 17600 N 79TH Ave
Apt 102
Glendale, AZ 85308-8682 - Phone
- (304) 942-5456
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 2126 | WV | |
| Physical Therapist | 225100000X | 070012436 | IL | Primary |
Addresses
Primary practice location
17600 N 79TH Ave
Apt 102
Glendale, AZ 85308-8682
Mailing address
17600 N 79TH Ave
Apt 102
Glendale, AZ 85308-8682
Phone (304) 942-5456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Naperville, IL 60563
Phone (866) 525-3175
4817 -4819 W 95TH St
Oak Lawn, IL 60453-2051
Phone (708) 938-3378
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.3 of 100
- Quality
- 88.48
- Improvement activities
- 40
- Cost
- 72.11
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2126 | WV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Point Healthcare LLC | Single Specialty | Current | Accepting new patients |
| Illinois Luna Care Physical Therapy LLC | Single Specialty | Current | Accepting new patients |
Locations
1415 W 47th St
Lagrange Hlds, IL 60525
Phone (708) 352-5652
19805 S La Grange Rd
Mokena, IL 60448
Phone (708) 938-3378
1755 Park St
Ste 200
Naperville, IL 60563
Phone (331) 244-0169
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Naperville, IL
- NPI 1033755566
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656547200000",
"number": "1043335979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17600 N 79TH AVE",
"address_2": "APT 102",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088682",
"telephone_number": "304-942-5456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17600 N 79TH AVE",
"address_2": "APT 102",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853088682",
"telephone_number": "304-942-5456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTELL",
"first_name": "ANDREA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2022-06-30",
"certification_date": "2022-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "WV",
"license": "2126",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": "070012436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.