MRS. JENNIFER MARIE MASTERSON (NPI# 1912976929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912976929 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER MARIE MASTERSON |
| Other Name | MRS. JENNIFER MARIE WHISLER |
| Credential | PT, ATC |
| Practice Address |
5221 N Broadway St Chicago IL 60640-2303 |
| Mailing Address |
4184 N Clarendon Ave #1n Chicago IL 60613-2227 |
| Practice Telephone | 7737849406 |
| Practice Fax Number | 7737849401 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2015-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 070-012420 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
070-012420 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
070-012420 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
096-001603 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124110051 | Jennifer Lynn Masterson | Physical Therapist | 11953 Porsch Pl, Marion, IL 62959-9415 | 2006-09-28 |
| Street Address |
5221 N BROADWAY ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881072981 | Ginalyn G Mendillo | Specialist/Technologist | 5221 N Broadway St, Chicago, IL 60640-2303 | 2015-05-11 |
| 1174926497 | Zachary William Fowler | Physical Therapist | 5221 N Broadway St, Chicago, IL 60640-2303 | 2014-10-01 |
| 1790032381 | Eric Giovanini | Physical Therapist | 5221 N Broadway St, Chicago, IL 60640-2303 | 2012-08-14 |
| 1760609002 | Jamie Lynn Meyer | Physical Therapist | 5221 N Broadway St, Chicago, IL 60640-2303 | 2007-04-19 |
| 1306887484 | Andrew Perkins | Physical Therapist | 5221 N Broadway St, Chicago, IL 60640-2303 | 2006-06-09 |
| 1164463139 | Kristin Burda | Physical Therapist | 5221 N Broadway St, Chicago, IL 60640-2303 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986891 | Murtaza Aziz | Physical Therapist | 1431 N Western Ave Ste 140, Chicago, IL 60622-1770 | 2020-09-14 |
| 1902416720 | Epicore Physical Therapy | Physical Therapist | 1660 N La Salle Dr Apt 2708, Chicago, IL 60614-6021 | 2020-08-06 |
| 1518597772 | Stability Physical Therapy and Wellness, LLC | Physical Therapist | 5031 W Balmoral Ave, Chicago, IL 60630-1507 | 2020-01-16 |
| 1891217683 | Zachary Michael Stapleton | Physical Therapist | 5841 S Maryland Ave # W107, Chicago, IL 60637-1447 | 2017-07-13 |
| 1548716483 | El Rey Corporation | Physical Therapist | 2250 W Belmont Ave Unit 1w, Chicago, IL 60618-6561 | 2016-08-31 |
| 1518323112 | Saxony A Matousek | Physical Therapist | 8750 W Bryn Mawr, Chicago, IL 60631-3569 | 2016-01-12 |
| 1710239132 | Alyssa Davis | Physical Therapist | 819 W. Blackhawk, Chicago, IL 60642 | 2012-10-09 |
| 1700173093 | Physical Sciences Institute, Inc. | Physical Therapist | 1335 W Lake St, Chicago, IL 60607-1518 | 2011-07-07 |
| 1467778357 | Elizabeth Mary Amoroso | Physical Therapist | 1850 N Clark St, #2504, Chicago, IL 60614-5301 | 2010-04-16 |
| 1770811705 | Erin Colleen Dinsmore Schreiber | Physical Therapist | 10318 S Western Ave, Chicago, IL 60643-2411 | 2009-12-02 |
| Find all providers in CHICAGO | ||||
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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.