MRS. JENNIFER MARIE MASTERSON PT ATC NPI 1912976929

NPI Information

NPI: 1912976929
Provider Name: MRS. JENNIFER MARIE MASTERSON, PT, ATC
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
5221 N BROADWAY ST
CHICAGO, IL
ZIP 60640
Phone: (773) 784-9406
Get Directions

MRS. Jennifer Marie Masterson, PT, ATC is an orthopedic physical therapist in Chicago, IL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. MRS. Jennifer Marie Masterson, PT, ATC NPI is 1912976929. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5221 N BROADWAY ST
CHICAGO, IL
ZIP 60640-303
Phone: (773) 784-9406
Fax: (773) 784-9401

The enumeration date for this NPI number is 3/14/2006 and was last updated on 7/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225100000X	Physical Therapist		070-012420	ILLINOIS	No
2	2251S0007X	Physical Therapist	Sports	070-012420	ILLINOIS	No
3	2255A2300X	Specialist/Technologist	Athletic Trainer	096-001603	ILLINOIS	No
4	2251X0800X	Physical Therapist	Orthopedic	070-012420	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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