Jade Brooke Martens, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

070019690 Issued in IL

Practice address

66 Miller Dr
Suite 102
North Aurora, IL 60542-5143

Phone

(630) 907-9165

NPI assigned

Dec 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1407125602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MILLER DR",
            "address_2": "SUITE 102",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605425143",
            "telephone_number": "630-907-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MILLER DR",
            "address_2": "SUITE 102",
            "city": "NORTH AURORA",
            "state": "IL",
            "postal_code": "605425143",
            "telephone_number": "630-907-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTENS",
        "first_name": "JADE",
        "middle_name": "BROOKE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-19",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3029",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "070019690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy L. Malcolm, MFT
• Adam L Maldonado, MS, LCPC
• Dina Lynn Malone, LCPC
• Lindsey Lee Maltese, M.S.ED. LCPC NCC
• Christine Marie Marian, D.C.
• Lucero Jeanette Martinez, PHARMD
• Samantha Martinez
• Christie Mason, PH.D., LCSW
• Janell McCann, AMFT
• Tina McCue, LCSW

• Pediatric Physical Therapist in North Aurora, IL
• Providers in North Aurora, IL by specialty
• Pediatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.