Active NPI
Marie Gladu, DPT
- Physical Therapist
- Martinton, IL
National Provider Identifier
1780924209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070018487
- Practice address
- 1768 E 2900 North Rd
Martinton, IL 60951-6036 - Phone
- (630) 421-0119
- NPI assigned
- Feb 20, 2013
- 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 | 070018487 | IL | Primary |
| Athletic Trainer | 2255A2300X | 096.002704 | IL |
Addresses
Primary practice location
1768 E 2900 North Rd
Martinton, IL 60951-6036
Mailing address
1768 E 2900 North Rd
Martinton, IL 60951-6036
Phone (630) 421-0119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210111000477 | IL | Practitioner - Physical Therapist in Private Practice | 3173936267 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Comprehensive Therapeutics LTD
Practice addresses (Care Compare)
577 E Martin Ave
Watseka, IL 60970-2000
Phone (815) 432-4560
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070018487 | IL | MD | Physical Therapist |
| 096.002704 | IL | MD | Athletic Trainer |
Organizations & group practices 3
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
- Gaffney, SC
- NPI 1437765583
-
- Physical Therapist
- Statesville, NC
- NPI 1619575651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388534400000",
"number": "1780924209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1768 E 2900 NORTH RD",
"city": "MARTINTON",
"state": "IL",
"postal_code": "609516036",
"telephone_number": "630-421-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1768 E 2900 NORTH RD",
"city": "MARTINTON",
"state": "IL",
"postal_code": "609516036",
"telephone_number": "630-421-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLADU",
"first_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-20",
"last_updated": "2014-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070018487",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096.002704",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2014; 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.