Anne Havenga Lueken, DPT
NPI 1487403713ActiveIndividual· Physical Therapist· O Fallon, IL
Physical Therapist (DPT) with Jdv Physical Therapy LLC, practicing in O Fallon, Illinois. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1487403713 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | May 17, 2024 |
| Last updated in NPPES | May 17, 2024 |
| Certified by provider | May 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070.025892 | IL |
| Physical Therapist | 225100000X | 2021029472 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MO) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Jdv Physical Therapy LLCSaint Louis, MO · 3 clinicians
Other physical therapists in O Fallon
- 1023621992
- 1063779403
- 1104071067
- 1326112988
- 1326399643
- 1477487312
- 1801720743
- 1982018362
- 1407255771
- 1861396095
- 1942190400
- 1770908782
All 31 physical therapists in O Fallon · All physical therapists in Illinois