Jennifer Marie Masterson, PT, ATC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

070-012420 Issued in IL

Practice address

5221 N Broadway St
Chicago, IL 60640-2303

Phone

(773) 784-9406

Fax

(773) 784-9401

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Mrs. Jennifer Marie Whisler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rci (WRS), LLC.

  dba RUSH Physical Therapy

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1033723101
  NPD (past)
• TJ Corporation I LLC

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Chicago, IL
  • NPI 1063417046
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1912976929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4184 N CLARENDON AVE",
            "address_2": "#1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402303",
            "telephone_number": "773-784-9406",
            "fax_number": "773-784-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-012420",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "IL",
            "license": "070-012420",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070-012420",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096-001603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WHISLER",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "PT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sheila Master, LSW
• Kseniya Sergeevna Masterova, MD, PHD
• Colleen Margaret Masters, M.S.N.
• Kaitlin Darbi Masters
• Megan Masters, APN
• Julia Francis Masterson, APN, RN
• Megan Masterson, APRN, CNP
• Patricia Eileen Masterson
• Audra Stolz Masterton, LCSW
• Joyce Marie Masterton, RN APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.