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DR. DEEANDRA RENEE PEDROZA PT, DPT
NPI 1659123560
Physical Therapist - Pediatrics in Park Ridge, IL

Active since April 03, 2024
1675 DEMPSTER ST, PARK RIDGE, IL 60068(847) 723-9339 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2024, Apr 3, 2024 (2 updates tracked since 2024).

About Dr. Deeandra Renee Pedroza Pt, Dpt NPPES

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

DR. DEEANDRA RENEE PEDROZA PT, DPT (NPI 1659123560) is an individual pediatrics provider in Park Ridge, Illinois, licensed in Illinois (070.027907) and active in the NPI registry since April 2024. She maintains a secondary practice location in Wilmette.

NPPES Registry Identity

NPI1659123560
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameDR. DEEANDRA RENEE PEDROZACredential: PT, DPT
Location Address1675 DEMPSTER STPark Ridge, IL 60068-1110
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(847) 723-9339
Sole ProprietorNo
Enumeration DateApril 3, 2024
Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1659123560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in IL · 070.027907
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
1675 DEMPSTER ST, Park Ridge, IL 60068
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Secondary Practice Location 1

Location 13232 Lake AveWilmette, IL 60091-1073 · Phone (224) 266-9411

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Deeandra Renee Pedroza Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Deeandra Pedroza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lutheran General Hospital
0.1 mi
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1801809306 (847) 723-2210

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYUBIN KYUNG DO
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
DR. NOUR AKHRAS M.D.
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
DR. JURAT SINGH RAJPAL M.D.
Pediatrics (Pediatric Nephrology)
1675 DEMPSTER ST, SECOND FLOOR
PARK RIDGE, IL 60068
Cook County (847) 318-9330
DR. CHRISTOPHER M JAMERSON M.D.
Pediatrics
1675 DEMPSTER ST, YACKTMAN PAVILION
PARK RIDGE, IL 60068
Cook County (847) 723-9557
SUSAN MICHELE UNFER M.D.
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
DR. WILLIAM RICHARD GOODELL M.D.
Pediatrics (Pediatric Hematology-Oncology)
1675 DEMPSTER ST, 2ND FLOOR
PARK RIDGE, IL 60068
Cook County (847) 723-9400
RABIAH BASITH
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
JASPER KUHN MD
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-2210

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 Deeandra Pedroza's NPI number?

The NPI number for Deeandra Pedroza is 1659123560. It was assigned to this individual provider in the NPPES registry on April 3, 2024.

Where is Deeandra Pedroza located?

Deeandra Pedroza practices at 1675 Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 723-9339.

What is Deeandra Pedroza's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Deeandra Pedroza enrolled in Medicare?

Yes. Deeandra Pedroza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Deeandra Pedroza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deeandra Pedroza reassigns Medicare benefits to Lutheran General Hospital (Park Ridge, IL). The 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 Deeandra Pedroza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Deeandra Pedroza was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.