BETHANY LUBACZ (P.T.) – Physical Therapist, NPI 1558301754
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL
Provider Addresses for BETHANY LUBACZ (P.T.)
19841 Wolf Rd
Mokena, IL 604481315
Phone: (708) 479-0320
Fax: (708) 479-3695
Type: Location
3 Superior Dr Ste 225
Superior, CO 800278661
Phone: (303) 665-2603
Type: Location
Engineering Building, 205, West Upper Wacker Drive, Loop, Chicago, South Chicago Township, Cook County, Illinois, 60606, United States
SUITE 1020
CHICAGO, IL 606061216
Phone: (312) 640-0329
Type: Mailing
19841, Wolf Road, Mokena, Will County, Illinois, 60448, United States
MOKENA, IL 604481315
Phone: (708) 479-0320
Fax: (708) 479-3695
Type: Location
8101 E LOWRY BLVD STE 120
DENVER, CO 802307195
Phone: (720) 865-6072
Type: Mailing
500 W 144TH AVE STE 230
WESTMINSTER, CO 800239328
Phone: (303) 665-2603
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-08-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230801000560 | I | Physical Therapist In Private Practice | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 151 | 22 | $0 |
| 97530 | Therapy procedure using functional activities | 115 | 18 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 111 | 21 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 58 | 12 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 60448)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| - | VA | |
| Physical Therapist In Private Practice | CO | |
| Occupational Therapist In Private Practice | TX | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Orthopedic Surgery | CO | |
| - | CO | |
| Physical Therapist In Private Practice | CO | |
| Physical Therapist In Private Practice | CO |
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