Mandie Martuzzo, LPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-010880 Issued in IL

Practice address

2143 W Wellington Ave
Chicago, IL 60618-8268

Phone

(773) 528-5400

Fax

(773) 528-0607

NPI assigned

Feb 28, 2007

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kinetic Physical Therapy Specialists, Inc.Group PAC ID 0840397360, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kinetic Physical Therapy Specialists, Inc.

  • Physical Therapist
  • Huntley, IL
  • NPI 1043342504
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1851428445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E IRVING PARK RD",
            "address_2": "STE. 107",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722048",
            "telephone_number": "630-439-0009",
            "fax_number": "630-439-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 W WELLINGTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606188268",
            "telephone_number": "773-528-5400",
            "fax_number": "773-528-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTUZZO",
        "first_name": "MANDIE",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-010880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M. Martirena, LCPC, MT-BC
• Benjamin Marton, LCSW
• Brenda Kay Martone, RN MSN ANP-BC
• Tracy Ann Martorello, LICENSED MASSAGE THE
• Monika Natalie Martusiewicz, MD
• Emilie Marty, O.T.D., OTR/L
• Iryna Martynets
• Ryan Martynowicz
• Derek Martz
• Phillip T Marucha, DMD

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.

Verify at the official NPI Registry.