Individual provider Active NPI

Lisa M Paluszkiewicz, DPT

  • Physical Therapist
  • Huntley, IL
National Provider Identifier
1407280373
Registry record updated Aug 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-020164 Issued in IL
Practice address
10370 Haligus Rd Ste 203
Huntley, IL 60142-9582
Phone
(847) 802-7050
NPI assigned
Aug 28, 2013
Last updated
Aug 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2023

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 070-020164 IL Primary

Addresses

Primary practice location

10370 Haligus Rd Ste 203
Huntley, IL 60142-9582

Mailing address

819 Prince Charles LN
Schaumburg, IL 60195-2934
Phone (847) 302-8824

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
070-020164ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centegra Primary Care LLC PastSince Sep 5, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692489600000",
    "number": "1407280373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 PRINCE CHARLES LN",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601952934",
            "telephone_number": "847-302-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10370 HALIGUS RD STE 203",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429582",
            "telephone_number": "847-802-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUSZKIEWICZ",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2023-08-20",
        "certification_date": "2023-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-020164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntley, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.