Provider Demographics
NPI:1962837492
Name:MARTINI, JEFFREY GEORGE (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:GEORGE
Last Name:MARTINI
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8603 S DIXIE HWY
Mailing Address - Street 2:STE 308
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-1129
Mailing Address - Country:US
Mailing Address - Phone:305-661-1441
Mailing Address - Fax:305-661-1443
Practice Address - Street 1:6921 W ARCHER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60638-2319
Practice Address - Country:US
Practice Address - Phone:773-586-2768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-03
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.020242225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist