Active NPI
Gildo Apa Marte II, P.T.
- Mechanotherapist
- Bartlett, IL
National Provider Identifier
1831402114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 070017818
- Practice address
- 1610 Thornbury Rd
Bartlett, IL 60103-2330 - Phone
- (630) 379-8784
- NPI assigned
- Jul 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 070017818 | IL | Primary |
Addresses
Primary practice location
1610 Thornbury Rd
Bartlett, IL 60103-2330
Mailing address
14815 W 85TH Ter
Lenexa, KS 66215-4102
Phone (954) 330-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070017818 | Other | IL | PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070017818 | IL | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1831402114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14815 W 85TH TER",
"city": "LENEXA",
"state": "KS",
"postal_code": "662154102",
"telephone_number": "954-330-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 THORNBURY RD",
"city": "BARTLETT",
"state": "IL",
"postal_code": "601032330",
"telephone_number": "630-379-8784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTE",
"first_name": "GILDO",
"middle_name": "APA",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-15",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "IL",
"license": "070017818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "070017818",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bartlett, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.