LAKESHORE PHYSICAL THERAPY
NPI 1629347992
Clinic/Center - Physical Therapy in Chicago, IL

Active since December 15, 2011
1320 W FULLERTON AVE, CHICAGO, IL 60614(773) 770-2419 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lakeshore Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESHORE PHYSICAL THERAPY (NPI 1629347992) is a healthcare organization registered as a physical therapy in Chicago, Illinois and active in the NPI registry since December 2011. The organization lists Sally R Fansler, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1629347992
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameLSF PT LLC
Location Address1320 W FULLERTON AVEChicago, IL 60614-2129
Mailing Address1320 W Fullerton AveChicago, IL 60614-2129 · (773) 770-2419
Organization SubpartNo
Authorized OfficialSally R FanslerManaging Partner · (773) 770-2419
Enumeration DateDecember 15, 2011
Last NPPES UpdateApril 21, 2023
NPPES CertifiedApril 21, 2023
✔ NPI 1629347992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in IL · 070005021
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
1320 W FULLERTON AVE, Chicago, IL 60614

Other Names 1

Doing Business AsLakeshore Physical Therapy

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeshore Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Lakeshore Physical Therapy, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Physical Therapist in Private Practice
NPI 1922541077
1320 W FULLERTON AVE
Chicago, IL 60614
(773) 770-2419
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1164221180
1320 W FULLERTON AVE
Chicago, IL 60614
(773) 770-2419
✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1306772991
3101 N GREENVIEW AVE
Chicago, IL 60657
(773) 270-1898
✔ Accepts Medicare0.9 mi
Physical Therapist in Private Practice
NPI 1871010579
3101 N GREENVIEW AVE
Chicago, IL 60657
(773) 270-1898
✔ Accepts Medicare0.9 mi
Physical Therapist in Private Practice
NPI 1033817747
4657 N LINCOLN AVE
Chicago, IL 60625
(773) 989-6472
✔ Accepts Medicare3.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lsf Pt LLC's NPI number?

The NPI number for Lsf Pt LLC is 1629347992. It was assigned to this organization in the NPPES registry on December 15, 2011. The provider is doing business as Lakeshore Physical Therapy.

Where is Lsf Pt LLC located?

Lsf Pt LLC is located at 1320 W Fullerton Ave, Chicago, IL 60614. The listed phone number is (773) 770-2419.

What is Lsf Pt LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Lsf Pt LLC enrolled in Medicare?

Yes. Lsf Pt LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lsf Pt LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Lsf Pt LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lsf Pt LLC was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.