| Dominic Jacob Martinez, PT, DPT | |
|
215 E 1st St, Dixon, IL 61021-3166 | |
| (815) 285-5591 | |
| Not Available |
| Full Name | Dominic Jacob Martinez |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 215 E 1st St, Dixon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730940560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070025944 (Illinois) | Primary |
| Provider Name | Cherokee Nation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic Jacob Martinez, PT, DPT 314 Marclare St # 314, Dixon, IL 61021-1145 Ph: (505) 879-9485 | Dominic Jacob Martinez, PT, DPT 215 E 1st St, Dixon, IL 61021-3166 Ph: (815) 285-5591 |
Mr. Michael Joseph Sarno, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 E. First Street, Dixon, IL 61021 Phone: 815-285-5591 | |
Stacey Penaflor, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5591 | |
Jeffrey G. White, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5591 | |
Wendy Sue Phillips, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 403 East 1st St, Ksb Physical Rehab, Dixon, IL 61021 Phone: 815-285-5591 | |
Patricia J Geisz, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 215 E 1st St, Commerce Towers, Suite 318-319, Dixon, IL 61021 Phone: 815-285-5591 | |
Mr. Connor Skoumal, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-284-5750 | |
Dixon Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 841 N Galena Ave Ste 400, Dixon, IL 61021 Phone: 815-285-2273 |