Joy Suzann Martin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

70-013168 Issued in IL

Practice address

656 Blazing Star Dr
Lake Villa, IL 60046-9012

Phone

(847) 863-3901

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

No

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)

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.

• Martin Pediatric Physical Therapy, Inc.

  • Home Health Agency
  • Lake Villa, IL
  • NPI 1952597098
  NPD (past) Authorized official
• Caitlin Chandran MSN, Aprn-Fpa, FNP-BC PLLC

  • Primary Care Clinic/Center
  • Grayslake, IL
  • NPI 1316661036
  NPD (past)
• Grayslake Rehabilitation and Complete Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Grayslake, IL
  • NPI 1982726683

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1689695348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 BLAZING STAR DR",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600469012",
            "telephone_number": "847-863-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 BLAZING STAR DR",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600469012",
            "telephone_number": "847-863-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JOY",
        "middle_name": "SUZANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "70-013168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Winston Lutz, PH.D.
• Anita Johanson Maddox, LCPC
• Susan R Magee, LCPC, CADC
• Magnolia Wellness Center
• Martin Pediatric Physical Therapy, Inc.
• Viktoriia V Martin, LPC
• Semyon Maslovsky, MD
• Gabrielle Mazade, APRN, CNP
• Ashley J McDowell, SLP
• Mary McGinn

• Physical Therapist in Lake Villa, IL
• Providers in Lake Villa, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.