LUX CONCIERGE PHYSICAL THERAPY PLLC
NPI 1649930108
Clinic/Center - Physical Therapy in Chicago, IL

Active since December 26, 2021
3161 N BROADWAY ST, CHICAGO, IL 60657(847) 220-4268 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 12, 2023, Jan 7, 2022, Dec 26, 2021 (3 updates tracked since 2021).

About Lux Concierge Physical Therapy Pllc NPPES

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

LUX CONCIERGE PHYSICAL THERAPY PLLC (NPI 1649930108) is a healthcare organization registered as a physical therapy in Chicago, Illinois and active in the NPI registry since December 2021. The organization lists Jordan Dubow, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1649930108
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameLUX CONCIERGE PHYSICAL THERAPY PLLC
Location Address3161 N BROADWAY STChicago, IL 60657-4508
Mailing Address3161 N Broadway StChicago, IL 60657-4508 · (847) 987-5854
Organization SubpartNo
Authorized OfficialJordan DubowPhysical Therapist · (847) 987-8554
Enumeration DateDecember 26, 2021
Last NPPES UpdateJuly 12, 20233 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1649930108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
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.
Also ListedHome HealthTaxonomy 251E00000X
3161 N BROADWAY ST, Chicago, IL 60657

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20220328002066Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lux Concierge Physical Therapy PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1639726383
111 NORTH WABASH AVE SUITE 100 #3279
Chicago, IL 60602
(847) 987-5854
✔ Accepts Medicare4.0 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 Lux Concierge Physical Therapy PLLC's NPI number?

The NPI number for Lux Concierge Physical Therapy PLLC is 1649930108. It was assigned to this organization in the NPPES registry on December 26, 2021.

Where is Lux Concierge Physical Therapy PLLC located?

Lux Concierge Physical Therapy PLLC is located at 3161 N Broadway St, Chicago, IL 60657. The listed phone number is (847) 220-4268.

What is Lux Concierge Physical Therapy PLLC's specialty?

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

Is Lux Concierge Physical Therapy PLLC enrolled in Medicare?

Yes. Lux Concierge Physical Therapy PLLC is registered in the Medicare PECOS enrollment system.

When is Lux Concierge Physical Therapy PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Lux Concierge Physical Therapy PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Lux Concierge Physical Therapy PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lux Concierge Physical Therapy PLLC was last updated on July 12, 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.