SearchIllinoisPhysical Therapy Assistant

Ethan Martinez

NPI 1104786268 · on the registry since 2025

Practice

Address
6410 Route 53 Ste 300
Woodridge, IL 60517
Phone
(331) 775-3000
Fax
(331) 775-3001
Organisation at this address
Illinois Bone And Joint Institute Llc
Illinois Bone And Joint Institute, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois