Active NPI
Raymond Douglas Letke, PT
- Physical Therapist
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070013072
- Practice address
- 14700 S la Grange Rd
Unit a
Orland Park, IL 60462-3248 - Phone
- (708) 873-8822
- Fax
- (708) 873-8823
- NPI assigned
- Aug 31, 2006
- Last updated
- Nov 10, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070013072 | IL | Primary |
Addresses
Primary practice location
14700 S la Grange Rd
Unit a
Orland Park, IL 60462-3248
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-6250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11055 Broadway
Suite a
Crown Point, IN 46307-7300
Phone (219) 797-7463
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
Locations
204 E Washington St
Clinton, IL 61727
Phone (217) 570-0225
1816 170th St
Hazel Crest, IL 60429
Phone (708) 335-1415
840 Willow Rd
Ste P
Northbrook, IL 60062
Phone (224) 649-5600
17236 Harlem Ave
Tinley Park, IL 60477
Phone (708) 633-8379
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Crown Point, IN
- NPI 1124667449
-
dba Axes Physical Therapy
- Physical Therapist
- Clinton, IL
- NPI 1376917187
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
IN
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1245341296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238813",
"telephone_number": "630-575-6250",
"fax_number": "630-575-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14700 S LA GRANGE RD",
"address_2": "UNIT A",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623248",
"telephone_number": "708-873-8822",
"fax_number": "708-873-8823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETKE",
"first_name": "RAYMOND",
"middle_name": "DOUGLAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070013072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.