JADE BROOKE MARTENS (NPI# 1407125602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407125602 |
| Entity Type | Individual |
| Full Name | JADE BROOKE MARTENS |
| Credential | DPT |
| Practice Address |
66 Miller Dr Suite 102 North Aurora IL 60542-5143 |
| Practice Telephone | 6309079165 |
| Mailing Telephone | 6309079165 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2013-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 3029 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
070019690 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
66 MILLER DR SUITE 102 |
| City | NORTH AURORA |
| State | IL |
| Zip Code | 60542-5143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255643946 | Margaret Meyers | Specialist/Technologist | 66 Miller Dr, Suite 102, North Aurora, IL 60542-5143 | 2010-07-09 |
| 1962038372 | Emily Honeyman | Occupational Therapist | 66 Miller Dr, North Aurora, IL 60542-5143 | 2020-03-17 |
| 1023665304 | Rebecca Aichele | Speech-Language Pathologist | 66 Miller Dr, North Aurora, IL 60542-5143 | 2019-08-21 |
| 1124593959 | Melissa Catherine Iwanicki | Physical Therapist | 66 Miller Dr, North Aurora, IL 60542-5143 | 2018-10-08 |
| 1720521677 | Katherine Sheehan | Social Worker | 66 Miller Dr, North Aurora, IL 60542-5143 | 2016-11-27 |
| 1154777100 | Dawnmarie Meller | Physical Therapist | 66 Miller Dr, Ste 102, North Aurora, IL 60542-5143 | 2016-05-09 |
| 1053783142 | Alexander James Porter | Occupational Therapist | 66 Miller Dr, Suite 102, North Aurora, IL 60542-5143 | 2015-10-28 |
| 1962895466 | Katherine Lindstrom | Occupational Therapist | 66 Miller Dr, Suite 102, North Aurora, IL 60542-5143 | 2015-03-09 |
| 1437553294 | Ankita Shah | Physician Assistant | 66 Miller Dr, Suite 101, North Aurora, IL 60542-5143 | 2014-10-22 |
| 1245634898 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 66 Miller Dr, North Aurora, IL 60542 | 2014-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285289678 | Balaji LLC | Dentist | 483 Randall Crossing Lane, North Aurora, IL 60542 | 2019-08-03 |
| 1528521283 | Robin Ann Blondin | Speech-Language Pathologist | Fearn Elementary School, 1600 Hawksley Lane, North Aurora, IL 60542 | 2019-04-10 |
| 1942766894 | Taking Control | Community/Behavioral Health | 106f South Lincolnway, North Aurora, IL 60542 | 2019-02-15 |
| 1104399682 | Taking Control Professional Corporation | Counselor | 106 South Lincolnway, Suite A, North Aurora, IL 60542 | 2019-01-07 |
| 1225565575 | Sarah A Fillmore | Social Worker | 106 S. Lincolnway St, North Aurora, IL 60542 | 2017-05-17 |
| 1437607892 | Seyedamir Danesh Sani | Dentist | 582 Chesterfield Lane, North Aurora, IL 60542 | 2016-09-14 |
| 1053664151 | Breeze Counseling, Ltd | Counselor | 427 Mallard Point Dr, North Aurora, IL 60542 | 2012-10-26 |
| 1174778104 | 311 Lincolnway Properties | Assisted Living Facility | 311 South Lincolnway, North Aurora, IL 60542 | 2008-11-18 |
| 1346421468 | Bernard Stanley Smaizys | Dentist | 111 Oak Street, North Aurora, IL 60542 | 2007-11-16 |
| 1215131255 | Allan Clifford Katz | Dentist | 866 Hathaway Court, North Aurora, IL 60542 | 2007-06-13 |
| Find all providers in zip 60542 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124593959 | Melissa Catherine Iwanicki | Physical Therapist | 66 Miller Dr, North Aurora, IL 60542-5143 | 2018-10-08 |
| 1154777100 | Dawnmarie Meller | Physical Therapist | 66 Miller Dr, Ste 102, North Aurora, IL 60542-5143 | 2016-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750411 | Crawl Walk Leap P.C. | Physical Therapist | 720 W Randolph St Apt 1103, Chicago, IL 60661-2171 | 2019-03-21 |
| 1912478777 | Elaine Rodriguez | Physical Therapist | 3332 N Kostner Ave, Chicago, IL 60641-4513 | 2018-12-05 |
| 1437625001 | Jennifer K. Buccelli, Mpt | Physical Therapist | 597 Plymouth Ct, Gurnee, IL 60031-3229 | 2018-10-22 |
| 1124511159 | Molly Victorine | Physical Therapist | 1375 Newcastle Ln, Hoffman Estates, IL 60169-1225 | 2018-06-13 |
| 1750896163 | Julie Ann Brady | Physical Therapist | 430 Nevada St, Frankfort, IL 60423-1565 | 2017-12-07 |
| 1467965939 | Carla Gain | Physical Therapist | 118 Westhaven School Rd, Belleville, IL 62220-3264 | 2017-11-07 |
| 1538678354 | Anita Tallegien Daneshdoost | Physical Therapist | 1725 Shomaker Drive, Murphysboro, IL 62966 | 2017-09-25 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1669915674 | Anna's Pediatric Physical Therapy LLC | Physical Therapist | 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 | 2016-11-22 |
| 1417409970 | Katherine Wolff | Physical Therapist | 12 N Kenilworth Ave, Mount Prospect, IL 60056-2232 | 2016-11-01 |
| Find all providers with the same taxonomy | ||||
| City | NORTH AURORA |
| Zip Code | 60542 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.