Jennifer Lynn Masterson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070013687 Issued in IL

Practice address

11953 Porsch PL
Marion, IL 62959-9415

Phone

(618) 977-3732

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Masterful Therapy

  • Early Intervention Provider Agency
  • Marion, IL
  • NPI 1770109977
  NPD Authorized official
• Align Healthcare LLC

  • Chiropractor
  • Carbondale, IL
  • NPI 1487960035
  NPD (past)
• Align Healthcares LLC

  • Primary Care Clinic/Center
  • Carbondale, IL
  • NPI 1962788489
  NPD (past)
• Occupational Performance and Rehab, PC

  • Occupational Therapist
  • Marion, IL
  • NPI 1689746216

  Physical Therapist

  NPD (past)
• Performance Chiropractic of Southern Illinois LLC

  • Chiropractor
  • Marion, IL
  • NPI 1538314414
  NPD (past)
• Southern Illinois Hospital Services

  • Medicare Defined Swing Bed Hospital Unit
  • Murphysboro, IL
  • NPI 1639595036
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1124110051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11953 PORSCH PL",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629599415",
            "telephone_number": "618-977-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11953 PORSCH PL",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629599415",
            "telephone_number": "618-977-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "070013687",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tameeka Marvin
• Serhiy Maslovsky, PA
• Rachel Lauren Massa, M.A. CCC-SLP
• Masterful Therapy
• Christopher D Masterson, RRT
• Kaitlyn Leeann Maston
• Era Louise Mattingly, APN
• Jonathan Lee Mattingly, LPN
• James Kenton Mattox, LCSW
• Loghan Matyi, REGISTERED NURSE

• Physical Therapist in Marion, IL
• Providers in Marion, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.