LUNA X. NINO (P.T.) – Physical Medicine & Rehabilitation Physician, NPI 1861661050

Physical Medicine & Rehabilitation Physician

LUNA X. NINO (P.T.) is a healthcare provider. based in Oak park, Illinois. specializing in Physical Medicine & Rehabilitation Physician. They hold the professional credentials P.T.. They hold a License No. 070010359 (IL). The NPI Number for LUNA X. NINO (P.T.) is 1861661050

Main info

Female

Sole Proprietor

13 Years Of Experience

Accepts Medicare Assignment

Name

LUNA X. NINO (P.T.)

NPI

1861661050

Phone

(708) 386-0862

Address

1174 S SCOVILLE AVE

Enumeration Date

21 February 2008

Last Update Date

26 August 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8472212222

Graduation Year

2013 (13 years ago)

PAC ID

2163716440

Group Practice PAC ID

0042216921

Professional Enrollment ID

I20160809002392

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience65

Completeness85

Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for LUNA X. NINO (P.T.)

1174, South Scoville Avenue, Oak Park, Cook County, Illinois, 60304, United States
OAK PARK, IL 603042140
Phone: (708) 386-0862
Fax: (708) 386-0862
Type: Mailing
525 TYLER RD STE I
ST CHARLES, IL 601743363
Phone: (630) 584-2070
Fax: (630) 584-0520
Type: Mailing

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60304)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 0042216921View full group profile

Name	Specialty	State
SUSAN KOCH (PT)	-	IL

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Frequently asked questions

Where can patients find LUNA X. NINO (P.T.)'s NPI?

You can confirm LUNA X. NINO (P.T.) with NPI 1861661050; it appears in the national provider directory.

Is LUNA X. NINO (P.T.) currently active in the NPI registry?

CMS-published data lists LUNA X. NINO (P.T.) as an active registrant.

What field does LUNA X. NINO (P.T.) work in?

You can think of LUNA X. NINO (P.T.) as practicing within Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.

What location shows for LUNA X. NINO (P.T.)?

We surface Oak Park, Illinois for LUNA X. NINO (P.T.) based on available NPPES addresses.

Is LUNA X. NINO (P.T.) a real provider?

This page reflects official NPPES data for NPI 1861661050. Always confirm identity and privileges with the practice and licensing boards.