Individual provider Active NPI

Jean Mart Tilde Cofino, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1366057556
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070028797 Issued in IL
Practice address
557 S State St
Chicago, IL 60605-1616
Phone
(312) 361-0261
Fax
(312) 361-0262
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT5772 NM
Physical Therapist 225100000X 070028797 IL Primary

Addresses

Primary practice location

557 S State St
Chicago, IL 60605-1616

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other practice location 1

800 E 9th Ave
Truth OR Consequences, NM 87901-1954
Phone (575) 894-3221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250214001585 IL Practitioner - Physical Therapist in Private Practice 1759749575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians
Concierge Physical Therapists LLCGroup PAC ID 7719140052, 20 clinicians

Practice addresses (Care Compare)

557 S State St
Chicago, IL 60605-1616
Phone (312) 361-0261

76 E Monroe St
Chicago, IL 60603-2702
Phone (703) 302-0951

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients
Concierge Physical Therapists LLC Physical Therapist CurrentSince Feb 15, 2026 Accepting new patients
New Mexico Physical Therapists Inc Past Accepting new patients

Locations

1030 15th St NW
Ste 246
Washington, DC 20005

76 E Monroe St
Chicago, IL 60603
Phone (312) 726-2840

557 S State St
Chicago, IL 60605
Phone (312) 361-0261

280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088

Interoperability endpoints

  • Direct secure messaging: jean.cofino.p9@direct.athleticoltd.nextgenshare.com

Organizations & group practices 4

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1366057556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051616",
            "telephone_number": "312-361-0261",
            "fax_number": "312-361-0262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Truth OR Consequences",
            "state": "NM",
            "postal_code": "879011954",
            "country_code": "US",
            "telephone_number": "575-894-3221",
            "fax_number": "575-894-4999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFINO",
        "first_name": "JEAN",
        "middle_name": "MART TILDE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT5772",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070028797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.