Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jean Mart Tilde Cofino, PT

Individual provider Physical Therapist · NPI 1366057556

Jean Mart Tilde Cofino, PT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2024, 2 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and New Mexico.

Years since qualifying
2
Licensed in
IL, NM
In the registry since
2020
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

557 S State St
Chicago, IL 60605-1616
Phone: (312) 361-0261
Fax: (312) 361-0262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 E 9th Ave, Truth Or Consequences, NM 87901-1954 — (575) 894-3221

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070028797 (IL)
Physical Therapist Taxonomy 225100000X · Licence PT5772 (NM)

Record details

NPI number1366057556
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 14, 2020
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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