Individual provider Active NPI

Anupama Lukose, DPT

  • Physical Therapist
  • Park Ridge, IL
National Provider Identifier
1780167262
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070023946 Issued in IL
Practice address
2028 Oakton St
Park Ridge, IL 60068-1958
Phone
(847) 993-8020
Fax
(847) 993-8018
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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 070023946 IL Primary

Addresses

Primary practice location

2028 Oakton St
Park Ridge, IL 60068-1958

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181008002586 IL Practitioner - Physical Therapist in Private Practice 0941552657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Rehabilitation Services LLCGroup PAC ID 2264479518, 569 clinicians
Athletic and Therapeutic Institute of Naperville, LLCGroup PAC ID 8325014020, 251 clinicians

Practice addresses (Care Compare)

2028 Oakton St
Park Ridge, IL 60068-1958
Phone (586) 350-2644

6105 N Lincoln Ave
Chicago, IL 60659-2313
Phone (773) 279-0927

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
87.86
Improvement activities
40
Cost
61.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Sep 4, 2018 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 22, 2021 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 22, 2021 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Sep 4, 2018 Accepting new patients

Locations

3973 W Algonquin Rd
Algonquin, IL 60102
Phone (224) 348-7600

790 Remington Blvd
Bolingbrook, IL 60440

5226 N Northwest Hwy
Chicago, IL 60630
Phone (708) 669-2493

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

10801 S Western Ave
Chicago, IL 60643
Phone (773) 445-4200

6105 N Lincoln Ave
Chicago, IL 60659
Phone (773) 279-0927

805 Davis St
Evanston, IL 60201
Phone (847) 864-1535

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

2028 W Oakton St
Park Ridge, IL 60068
Phone (847) 692-6964

4732 Dempster St
Skokie, IL 60076
Phone (224) 534-2280

2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270

9 N 2nd St
St Charles, IL 60174
Phone (630) 526-4200

967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

114 Skokie Blvd
Wilmette, IL 60091
Phone (847) 512-5102

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1780167262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644",
            "fax_number": "586-541-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 OAKTON ST",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681958",
            "telephone_number": "847-993-8020",
            "fax_number": "847-993-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUKOSE",
        "first_name": "ANUPAMA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070023946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.