Individual provider Active NPI

Kimberly Martinez

  • Physical Therapist
  • Willowbrook, IL
National Provider Identifier
1144706557
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6300 Kingery Hwy Ste 204
Willowbrook, IL 60527-2326
Phone
(630) 891-3980
NPI assigned
Jul 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Physical Therapist 225100000X Primary

Addresses

Primary practice location

6300 Kingery Hwy Ste 204
Willowbrook, IL 60527-2326

Mailing address

3221 Havenwood CT
Palatine, IL 60067-9054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211015002423 IL Practitioner - Physical Therapist in Private Practice 3678971975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Achieve Orthopedic Sports Institute LLCGroup PAC ID 6507129673, 10 clinicians

Practice addresses (Care Compare)

6300 Kingery Hwy
Suite 204
Willowbrook, IL 60527-2326
Phone (630) 891-3980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Orthopedic Rehabilitation Institute,Inc Physical Therapist CurrentSince Jul 8, 2021 Accepting new patients
Achieve Orthopedic Sports Institute, LLC CurrentSince Jul 8, 2021 Accepting new patients

Locations

7055 High Grove Blvd
Burr Ridge, IL 60527
Phone (630) 371-1623

9121 159th St
Orland Hills, IL 60487
Phone (630) 371-1623

760 Pasquinelli Dr
Ste 304
Westmont, IL 60559
Phone (630) 371-1623

6300 Kingery Hwy
Ste 204
Willowbrook, IL 60527
Phone (630) 891-3980

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.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1144706557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 HAVENWOOD CT",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600679054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 KINGERY HWY STE 204",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272326",
            "telephone_number": "630-891-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.

Verify at the official NPI Registry.