Active NPI
Jean Mart Tilde Cofino, PT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070028797
- 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
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 | 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Concierge Physical Therapists LLC | Physical Therapist | Current | 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
- 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.
-
- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
-
- Physical Therapy Clinic/Center
- Bellevue, WA
- NPI 1508124173
IL, Physical Therapist
-
- Physical Therapy Clinic/Center
- Los Lunas, NM
- NPI 1033115050
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.