Active NPI
Jeffrey George Martini, PT, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1962837492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.020242
- Practice address
- 6921 W Archer Ave
Chicago, IL 60638-2319 - Phone
- (773) 586-2768
- NPI assigned
- Sep 3, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.020242 | IL | Primary |
Addresses
Primary practice location
6921 W Archer Ave
Chicago, IL 60638-2319
Mailing address
8603 S Dixie Hwy
Ste 308
Pinecrest, FL 33156-1129
Phone (305) 661-1441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131010000044 | IL | Practitioner - Physical Therapist in Private Practice | 5496989261 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.020242 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1962837492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8603 S DIXIE HWY",
"address_2": "STE 308",
"city": "PINECREST",
"state": "FL",
"postal_code": "331561129",
"telephone_number": "305-661-1441",
"fax_number": "305-661-1443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6921 W ARCHER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606382319",
"telephone_number": "773-586-2768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINI",
"first_name": "JEFFREY",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-03",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.020242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.