Lakeshore Physical Therapy, LLC
NPI 1629363064 · Physical Therapy Clinic/Center · Libertyville, IL
Lakeshore Physical Therapy, LLC is a Physical Therapy Clinic/Center organization in Libertyville, IL (NPI 1629363064).
Provider details
- NPI number
- 1629363064
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Lake County Neurosurgery, LLC
- Organization subpart
- Yes
- Authorized official
- Jonathan Citow, Owner(847) 362-1848
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-06-14
- Last updated
- 2011-06-17
Frequently asked questions
- What is Lakeshore Physical Therapy, LLC's NPI number?
- Lakeshore Physical Therapy, LLC's National Provider Identifier (NPI) is 1629363064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeshore Physical Therapy, LLC?
- Lakeshore Physical Therapy, LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lakeshore Physical Therapy, LLC located?
- Lakeshore Physical Therapy, LLC's practice location on file with NPPES is 712 S Milwaukee Ave, Libertyville, IL 60048-3279.
- What is Lakeshore Physical Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lakeshore Physical Therapy, LLC is (847) 362-1848.
- Who is the authorized official for Lakeshore Physical Therapy, LLC?
- The authorized official listed on Lakeshore Physical Therapy, LLC's NPPES record is Jonathan Citow, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeshore Physical Therapy, LLC's NPI active?
- Yes — Lakeshore Physical Therapy, LLC's NPI (1629363064) is active in the NPPES registry as of the last update on 2011-06-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.