TLC Home Therapy, Inc.
Organization Active NPI Occupational Therapist · New Lenox, IL
NPI 1053287334 · NPPES record last updated Oct 14, 2025
Key facts
- NPI
- 1053287334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- TLC HOME THERAPY, INC.
- Practice address
- 2772 Northern Lights Way
New Lenox, IL 60451-7503 - Phone
- (708) 710-2010
- NPI assigned
- Oct 14, 2025
- Organization subpart
- No
Authorized official
- Name
- Mr. Louis Rojek
- Title
- Owner
- Phone
- (708) 710-2010
Practitioners 24
-
Ria Anne Vierneza Cruz, FNP-BC
-
Gino John, DPT
-
Bohdan Kontsevyy, RSA, FNP
-
Yundee Yngson, PT
-
Gregorio Aquino, PT
-
Ginger Dean, APRN
-
Nicole Karren, APRN
-
Ashley A Ledonne, FNP
-
Zofia Danuta Rusnak, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260309002309 | IL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6002399052 |
Receives reassigned benefits from 3 practitioners Practice locations: New Lenox, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | Yes | ||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
2772 Northern Lights Way
New Lenox, IL 60451-7503
Mailing address
2772 Northern Lights Way
New Lenox, IL 60451-7503
Phone (708) 710-2010
Other providers in New Lenox, IL
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All providers in New Lenox, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.