Jennifer Marie Matl

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

1878441 Issued in IL

Practice address

3502 Sumac Dr
Joliet, IL 60435-9018

Phone

(708) 378-5984

NPI assigned

Aug 5, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Jen Matl DT Thats Me Corp.

  • Developmental Therapist
  • Joliet, IL
  • NPI 1366949893
  NPD (past) Authorized official

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1326457128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 SUMAC DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604359018",
            "telephone_number": "708-378-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 SUMAC DR",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604359018",
            "telephone_number": "708-378-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATL",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "1878441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahid Masood, MD
• Sara Maternowski
• Peggy L. Mateski-Price, APN-CNP
• Liji Mathew, MD
• Moly Mathew, M.D.
• Cassie Marie Matlage, RN
• Matrix Mental Health LTD
• Lori Mattix, LCSW
• Maraline Patricia Mattke, M.S.W., L.C.S.W.
• Marcia Matushek, CRNA

• Developmental Therapist in Joliet, IL
• Providers in Joliet, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.