Individual provider Active NPI

Leena Varghese, MPT

  • Physical Therapist
  • Lake in the Hills, IL
National Provider Identifier
1942482922
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-014315 Issued in IL
Practice address
9551 Ackman Rd
Lake in the Hills, IL 60156-9709
Phone
(847) 669-8800
Fax
(847) 669-8211
NPI assigned
Nov 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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 070-014315 IL Primary

Addresses

Primary practice location

9551 Ackman Rd
Lake in the Hills, IL 60156-9709

Mailing address

9551 Ackman Rd
Lake in the Hills, IL 60156-9709
Phone (847) 669-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-014315ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moffett Physical Therapy, Inc. Physical Therapist PastSince Apr 25, 2004 Accepting new patients
Moffett Physical Therapy Past Accepting new patients
Knewtson Family Chiropractic PA PastSince Feb 1, 2000 Accepting new patients

Organizations & group practices 3

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": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1942482922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9551 ACKMAN RD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569709",
            "telephone_number": "847-669-8800",
            "fax_number": "847-669-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9551 ACKMAN RD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569709",
            "telephone_number": "847-669-8800",
            "fax_number": "847-669-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "LEENA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-014315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.