Masterful Therapy

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MASTERFUL THERAPY

Doing business as

Jennifer Masterson DBA Masterful Therapy

Practice address

11953 Porsch PL
Marion, IL 62959-9415

Phone

(618) 977-3732

NPI assigned

Jun 23, 2020

Organization subpart

No

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

Authorized official

Name

Jennifer L Masterson, PT, MSNPI 1124110051

Title

Physical Therapist

Phone

(618) 977-3732

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Masterson DBA Masterful Therapy Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lynn Masterson, PT

  • Physical Therapist
  • Marion, IL
  • NPI 1124110051
  NPD Authorized official

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592870400000",
    "number": "1770109977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11953 PORSCH PL",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629599415",
            "telephone_number": "618-977-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11953 PORSCH PL",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629599415",
            "telephone_number": "618-977-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASTERFUL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A",
        "authorized_official_last_name": "MASTERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "618-977-3732",
        "authorized_official_credential": "PT, MS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MARION",
            "affiliation": "N",
            "address_1": "11953 Porsch Pl",
            "city": "Marion",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629599415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jennifer Masterson DBA Masterful Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patti L Martin, NP
• Steven Lee Martinez, PA-C
• Tameeka Marvin
• Serhiy Maslovsky, PA
• Rachel Lauren Massa, M.A. CCC-SLP
• Christopher D Masterson, RRT
• Jennifer Lynn Masterson, PT
• Kaitlyn Leeann Maston
• Era Louise Mattingly, APN
• Jonathan Lee Mattingly, LPN

• Early Intervention Provider Agency in Marion, IL
• Providers in Marion, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.