Cameron Michael Martin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070028128 Issued in IL

Practice address

303 E Army Trail Rd Ste 135
Bloomingdale, IL 60108-2140

Phone

(630) 849-0606

NPI assigned

Mar 25, 2024

Last updated

Mar 25, 2024By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Adventist Glenoaks Hospital

  dba Adventhealth Glenoaks

  • Psychiatric Hospital Unit
  • Glendale Heights, IL
  • NPI 1477572949
  NPD (past)

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1972353936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7323 BLACKBURN AVE APT 203",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605164141",
            "telephone_number": "630-849-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD STE 135",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082140",
            "telephone_number": "630-849-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CAMERON",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070028128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Marchetti, OTD, OTR/L
• Kimberly Marin, NP
• Justin Maristela, PTA
• Markund Childrens Home
• Marriage and Family Solutions LLC
• Nora Martin, LSW
• Alan Martinez, PHARMD.
• Esmeralda Martinez, APN, FNP-BC
• Laura A. Marzulli, PT
• Jerry Masangcay

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.