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

Michael Lezon, DPT

Individual provider Physical Therapist · NPI 1841645058

Michael Lezon, DPT is a Physical Therapist in Private Practice in Libertyville, Illinois. Qualified in 2016, 10 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
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

1352 S Milwaukee Ave
Libertyville, IL 60048-3795
Phone: (847) 549-1460
Fax: (847) 549-1490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Waukegan Rd Ste 1100, Lake Bluff, IL 60044-3012 — (847) 247-2402

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-022496 (IL)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1841645058
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 26, 2016
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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