Individual provider Active NPI

Lucas J Greenwell, DPT

  • Physical Therapist
  • Westmont, IL
National Provider Identifier
1396093142
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-019458 Issued in IL
Practice address
20 E Chicago Ave
Westmont, IL 60559
Phone
(331) 253-2280
Fax
(833) 506-3220
NPI assigned
Aug 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-019458 IL Primary

Addresses

Primary practice location

20 E Chicago Ave
Westmont, IL 60559

Mailing address

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

Other practice location 1

1739 Freedom Dr
Suite 101
Naperville, IL 60563-3558
Phone (630) 799-0122

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address luke@recoverrxpt.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-019458ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Recoverrx Physical Therapy, LLC CurrentSince Aug 11, 2019 Accepting new patients

Locations

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1396093142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E CHICAGO AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591738",
            "telephone_number": "331-253-2280",
            "fax_number": "833-506-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E CHICAGO AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "60559",
            "telephone_number": "331-253-2280",
            "fax_number": "833-506-3220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1739 Freedom Dr",
            "address_2": "SUITE 101",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605633558",
            "country_code": "US",
            "telephone_number": "630-799-0122",
            "fax_number": "630-799-0084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "LUCAS",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-28",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-019458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "luke@recoverrxpt.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "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 Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.