Individual provider Active NPI

Lori Jo Peculis

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1740474758
Registry record updated Sep 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2846 W Estes Ave
Chicago, IL 60645-2904
Phone
(773) 761-5434
NPI assigned
Sep 3, 2007
Last updated
Sep 3, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2007

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 IL Primary

Addresses

Primary practice location

2846 W Estes Ave
Chicago, IL 60645-2904

Mailing address

2846 W Estes Ave
Chicago, IL 60645-2904
Phone (773) 761-5434

Other names 1

  • Lori Jo Linke Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180212001403 IL Practitioner - Physical Therapist in Private Practice 7719247741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5525 S Pulaski Rd
Chicago, IL 60629-4400
Phone (312) 996-2779

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
University of Illinois Speech and Hearing CurrentSince Aug 29, 2024 Accepting new patients

Locations

1640 W Roosevelt Rd
#727
Chicago, IL 60608
Phone (312) 413-1871

5525 S Pulaski Rd
Chicago, IL 60629
Phone (773) 432-0100

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

Organizations & group practices 2

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": "1188777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188777600000",
    "number": "1740474758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2846 W ESTES AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452904",
            "telephone_number": "773-761-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2846 W ESTES AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606452904",
            "telephone_number": "773-761-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECULIS",
        "first_name": "LORI",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-03",
        "last_updated": "2007-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "LINKE",
            "middle_name": "JO",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2007; 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.

Verify at the official NPI Registry.