Jonathan Marquina, DPT
Individual provider Active NPI Physical Therapist · Lyons, IL
NPI 1831078732 · NPPES record last updated Aug 28, 2025
Key facts
- NPI
- 1831078732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070029368 (IL)
- Practice address
- 8317 Ogden Ave
Lyons, IL 60534-1122 - Phone
- (847) 818-0461
- NPI assigned
- Aug 27, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Team Rehabilitation Services LLC
Practice addresses (Care Compare)
8317 Ogden Ave
Lyons, IL 60534-1122
Phone (586) 350-2644
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250912002603 | IL | Practitioner - Physical Therapist in Private Practice | 1153824362 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070029368 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Physical Therapist | Current |
Accepting new patients |
| Team Rehabilitation Services, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
3973 W Algonquin Rd
Algonquin, IL 60102
Phone (224) 348-7600
10801 S Western Ave
Chicago, IL 60643
Phone (773) 445-4200
8317 Ogden Ave
Lyons, IL 60534
Phone (847) 818-0461
9 N 2nd St
St Charles, IL 60174
Phone (630) 526-4200
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070029368 | IL | Yes |
Addresses
Primary practice location
8317 Ogden Ave
Lyons, IL 60534-1122
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Other providers in Lyons, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.