Active NPI
Lucia Susana Valenzuela, DPT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.026650
- Practice address
- 4307 S Pulaski Rd
Chicago, IL 60632-4008 - Phone
- (773) 916-4673
- Fax
- (773) 847-7868
- NPI assigned
- Jul 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 302364 | CA | |
| Physical Therapist | 225100000X | 65106 | OR | |
| Physical Therapist | 225100000X | 070.026650 | IL | Primary |
Addresses
Primary practice location
4307 S Pulaski Rd
Chicago, IL 60632-4008
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
3611 Nm 528 NW Ste 101
Albuquerque, NM 87114-8920
Phone (505) 217-2826
Other practice location 2
12400 High Bluff Dr
San Diego, CA 92130-3077
Phone (866) 871-8519
Other practice location 3
1630 Beavercreek Rd Ste A
Oregon City, OR 97045-4156
Phone (503) 607-0047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR, IL
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1630 Beavercreek Rd
Suite a
Oregon City, OR 97045-4156
Phone (503) 607-0047
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302364 | CA | MD | Physical Therapist |
| 070.026650 | IL | MD | Physical Therapist |
| 65106 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Proactive LLC | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current | Accepting new patients |
| H.D.P.R.G., Inc | Physical Therapist | Current | Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Current | Accepting new patients | |
| Omnis Omnia Inc. | Past | Accepting new patients |
Locations
5930 Adobe Rd
Twentynine Palms, CA 92277
Phone (760) 367-1743
56299 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 367-1743
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
4307 S Pulaski Rd
Chicago, IL 60632
Phone (773) 916-4673
1340 E 47th St
Chicago, IL 60653
Phone (773) 496-5147
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
4732 Dempster St
Skokie, IL 60076
Phone (224) 534-2280
2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270
967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237
109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251
0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
1630 Beavercreek Rd
Ste A
Oregon City, OR 97045
Phone (503) 607-0047
450 NW Greenwood Ave
Redmond, OR 97756
Phone (541) 923-0410
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.
-
- Physical Therapist
- Aurora, IL
- NPI 1023129681
-
- Durable Medical Equipment & Medical Supplies
- Hazel Crest, IL
- NPI 1043952641
-
- Orthopedic Physical Therapist
- Redmond, OR
- NPI 1013949239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1871227744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4307 S PULASKI RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606324008",
"telephone_number": "773-916-4673",
"fax_number": "773-847-7868"
}
],
"practiceLocations": [
{
"address_1": "3611 Nm 528 NW Ste 101",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871148920",
"country_code": "US",
"telephone_number": "505-217-2826",
"fax_number": "505-234-7431",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12400 High Bluff Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921303077",
"country_code": "US",
"telephone_number": "866-871-8519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1630 Beavercreek Rd Ste A",
"address_purpose": "LOCATION",
"city": "Oregon City",
"state": "OR",
"postal_code": "970454156",
"country_code": "US",
"telephone_number": "503-607-0047",
"fax_number": "503-607-0051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALENZUELA",
"first_name": "LUCIA",
"middle_name": "SUSANA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-14",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "302364",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "65106",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.026650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 29, 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.