Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Anne Havenga Lueken, DPT

Individual provider Physical Therapist · NPI 1487403713

Dr. Anne Havenga Lueken, DPT is a Physical Therapist in Private Practice in O Fallon, Illinois. Qualified in 2021, 5 years ago. Licensed in Illinois and Missouri.

Years since qualifying
5
Licensed in
IL, MO
In the registry since
2024
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

209 Rec Plex Dr
O Fallon, IL 62269-4327
Phone: (618) 624-3886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070.025892 (IL)
Physical Therapist Taxonomy 225100000X · Licence 2021029472 (MO)

Record details

NPI number1487403713
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 17, 2024
Last updated in NPPESMay 17, 2024
Certification dateMay 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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