Active NPI
Joy R Martin
- Developmental Therapist
- Oak Lawn, IL
National Provider Identifier
1235479932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 2512694
- Practice address
- 10002 S Pulaski Rd
Apt. 310
Oak Lawn, IL 60453-4176 - Phone
- (708) 724-6778
- NPI assigned
- Feb 18, 2013
- Last updated
- Feb 18, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 2512694 | IL | Primary |
Addresses
Primary practice location
10002 S Pulaski Rd
Apt. 310
Oak Lawn, IL 60453-4176
Mailing address
10002 S Pulaski Rd
Apt. 310
Oak Lawn, IL 60453-4176
Phone (708) 724-6778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2512694 | IL | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361145600000",
"number": "1235479932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10002 S PULASKI RD",
"address_2": "APT. 310",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604534176",
"telephone_number": "708-724-6778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10002 S PULASKI RD",
"address_2": "APT. 310",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604534176",
"telephone_number": "708-724-6778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "JOY",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-18",
"last_updated": "2013-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IL",
"license": "2512694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.