Active NPI
Andrea C Marti, DPT
- Physical Therapist
- Winnetka, IL
National Provider Identifier
1316595663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.025630
- Practice address
- 914 Green Bay Rd Ste 202
Winnetka, IL 60093-1701 - Phone
- (847) 447-6040
- NPI assigned
- Aug 29, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-30886 | AZ | |
| Physical Therapist | 225100000X | 070.025630 | IL | Primary |
Addresses
Primary practice location
914 Green Bay Rd Ste 202
Winnetka, IL 60093-1701
Mailing address
1110 Shawnee Rd
Lima, OH 45805-3529
Other practice location 1
7525 E Broadway Rd Ste 6
Mesa, AZ 85208-1156
Phone (480) 354-2911
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.025630 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Physical Therapy, Inc. | Past | Accepting new patients | |
| Dynamic Physical Therapy | Past | Accepting new patients | |
| Dynamic Physical Therapy, Inc. | Past | Accepting new patients | |
| Dynamic Physical Therapy, Inc. | Past | Accepting new patients | |
| On the Mend on the Move Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Rehabilitation Clinic/Center
- Oak Brook, IL
- NPI 1457609620
-
- Rehabilitation Clinic/Center
- Oak Park, IL
- NPI 1316419278
-
- Rehabilitation Clinic/Center
- Winnetka, IL
- NPI 1881166650
-
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1962974824
-
- Physical Therapist
- Mesa, AZ
- NPI 1528011178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1316595663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 SHAWNEE RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458053529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 GREEN BAY RD STE 202",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600931701",
"telephone_number": "847-447-6040"
}
],
"practiceLocations": [
{
"address_1": "7525 E Broadway Rd Ste 6",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852081156",
"country_code": "US",
"telephone_number": "480-354-2911",
"fax_number": "480-984-3169",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTI",
"first_name": "ANDREA",
"middle_name": "C",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-29",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-30886",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.025630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winnetka, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.