Individual provider Active NPI

Andrea Johanne Molen Lena

  • Physical Therapist
  • Lemont, IL
National Provider Identifier
1740922988
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070020415 Issued in IL
Practice address
12450 Walker Rd
Lemont, IL 60439-9301
Phone
(630) 243-0400
NPI assigned
Apr 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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 070020415 IL Primary

Addresses

Primary practice location

12450 Walker Rd
Lemont, IL 60439-9301

Mailing address

2824 River Bend LN
Plainfield, IL 60586-6658
Phone (630) 670-7407

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240320000805 IL Practitioner - Physical Therapist in Private Practice 1850738360 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Oasis Therapy Services LLCGroup PAC ID 8325427974, 73 clinicians

Practice addresses (Care Compare)

16 W301
Burr Ridge, IL 60527-6368
Phone (630) 568-5479

8170 McCormick Blvd
Suite 112
Skokie, IL 60076-2914
Phone (920) 252-4442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Therapy Services LLC Physical Therapist CurrentSince Mar 7, 2024 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Dec 27, 2024 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Oct 31, 2024 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Oct 31, 2024 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Dec 27, 2024 Accepting new patients

Locations

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

8170 McCormick Blvd
Ste 112
Skokie, IL 60076
Phone (920) 252-4442

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 5

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": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1740922988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 RIVER BEND LN",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605866658",
            "telephone_number": "630-670-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12450 WALKER RD",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604399301",
            "telephone_number": "630-243-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENA",
        "first_name": "ANDREA JOHANNE",
        "middle_name": "MOLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.