Jill M Putman, PT

Key facts

NPI

1316612807

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

070008043 (IL)

Practice address

550 Ridgeview Dr
MC Henry, IL 60050

Phone

(815) 900-2500

NPI assigned

Aug 16, 2021

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 16, 2021.

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1316612807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 PROVIDENCE LN",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600464942",
            "telephone_number": "847-749-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 RIDGEVIEW DR",
            "city": "MC HENRY",
            "state": "IL",
            "postal_code": "60050",
            "telephone_number": "815-900-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTMAN",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070008043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jputman@ignitemedicalresorts.com",
            "affiliation": "N",
            "address_1": "550 Ridgeview Drive",
            "city": "McHenry",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in MC Henry, IL

• Kamayani Narang, MD

All providers in MC Henry, IL · Physical Therapist in Illinois