Organization Active NPI

Recoverrx Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Oakbrook Terrace, IL
National Provider Identifier
1295380707
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RECOVERRX PHYSICAL THERAPY, LLC
Practice address
17W775 Butterfield Rd Ste 128
Oakbrook Terrace, IL 60181-4535
Phone
(331) 253-2426
Fax
(833) 506-3220
NPI assigned
Aug 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lucas Greenwell, PTNPI 1396093142
Title
Owner/Physical Therapist
Phone
(331) 253-2426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

17W775 Butterfield Rd Ste 128
Oakbrook Terrace, IL 60181-4535

Mailing address

17W775 Butterfield Rd Ste 128
Oakbrook Terrace, IL 60181-4535
Phone (331) 253-2426

Other practice location 1

20 E Chicago Ave
Westmont, IL 60559-1738
Phone (331) 253-2280

Other identifiers 5

IdentifierTypeStateIssuer
1396093142MedicaidIL
1629402706MedicaidIL
1942948278MedicaidIL
1295380707MedicaidIL
1851801849MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address luke@recoverrxpt.com Direct

National Provider Directory

National Provider Directory

Locations

17W775 Butterfield Rd
Ste 128
Oakbrook Terrace, IL 60181
Phone (331) 253-2426

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1295380707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W775 BUTTERFIELD RD STE 128",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814535",
            "telephone_number": "331-253-2426",
            "fax_number": "833-506-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W775 BUTTERFIELD RD STE 128",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814535",
            "telephone_number": "331-253-2426",
            "fax_number": "833-506-3220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 E Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605591738",
            "country_code": "US",
            "telephone_number": "331-253-2280",
            "fax_number": "833-506-3220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECOVERRX PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-02",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "GREENWELL",
        "authorized_official_first_name": "LUCAS",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "331-253-2426",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396093142",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629402706",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942948278",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295380707",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851801849",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "luke@recoverrxpt.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "20 E Chicago Ave",
            "city": "Westmont",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605591738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.