Organization Active NPI

Pain and Wellness Group LTD

  • Rehabilitation Practitioner
  • Plainfield, IL
National Provider Identifier
1467867390
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
PAIN AND WELLNESS GROUP LTD
Practice address
15041 S Van Dyke Rd
Suite 101
Plainfield, IL 60544-5527
Phone
(815) 267-8596
NPI assigned
Jun 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Dr. Luke Lotriet, D.CNPI 1467481184
Title
Owner
Phone
(815) 267-8596

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X Primary

Addresses

Primary practice location

15041 S Van Dyke Rd
Suite 101
Plainfield, IL 60544-5527

Mailing address

660 Norcross Dr
Batavia, IL 60510-8603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150108002184 IL Part B Supplier - Clinic/Group Practice 1153644620 Receives reassigned benefits from 1 practitioner
Practice locations: Plainfield, IL

National Provider Directory

National Provider Directory

Locations

15041 S Van Dyke Rd
#101
Plainfield, IL 60544

411 W Saint Charles Rd
Villa Park, IL 60181
Phone (630) 691-1234

Practitioners & affiliated clinicians

Practitioners 3

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": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1467867390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 NORCROSS DR",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605108603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15041 S VAN DYKE RD",
            "address_2": "SUITE 101",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445527",
            "telephone_number": "815-267-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND WELLNESS GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-30",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "LOTRIET",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-267-8596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.