IndividualActive
Martina Kotrba, PA
NPI 1770452583 · Physician Assistant · Utica, IL
Provider details
- NPI number
- 1770452583
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 085.011653 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2937 N Il Route 178 Unit 5
Utica, IL 61373-9708
Phone: (815) 664-5367
Fax: (815) 664-5204
Street-level locationGet directions
Mailing address
2937 N Il Route 178 Unit 5
Utica, IL 61373-9708
Additional practice locations (6)
- 215 E 1st St Ste 211Dixon, IL 61021-3175Phone: (815) 664-5367Fax: (815) 664-5204
- 1050 E Norris Dr Ste 1cOttawa, IL 61350-1608Phone: (815) 239-6308
- 920 West St Ste 112Peru, IL 61354-2765Phone: (815) 664-5367Fax: (815) 664-5204
- 4040 Progress BlvdPeru, IL 61354-1124Phone: (815) 664-5367Fax: (815) 664-5204
- 530 Park Ave E Ste 201Princeton, IL 61356-3902Phone: (815) 664-5367Fax: (815) 664-5204
- 111 Spring StStreator, IL 61364-3332Phone: (815) 664-5367Fax: (815) 664-5204
Registry dates
- Enumerated
- 2025-10-30
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.