Organization Active NPI

Prestige Therapy, LLC

  • Public Health or Welfare Agency
  • Mokena, IL
National Provider Identifier
1023889896
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
PRESTIGE THERAPY, LLC
Practice address
10062 W 190TH PL Ste 114
Mokena, IL 60448-8757
Phone
(708) 590-9870
NPI assigned
Jan 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Caitlin Deborah Suerth, E.D., LCPCNPI 1841625282
Title
Owner
Phone
(708) 590-9870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

10062 W 190TH PL Ste 114
Mokena, IL 60448-8757

Mailing address

23965 S Old Farm Rd
Manhattan, IL 60442-1020
Phone (708) 590-9870

National Provider Directory

National Provider Directory

Locations

10062 W 190th Pl
Ste 114
Mokena, IL 60448
Phone (708) 590-9870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1023889896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23965 S OLD FARM RD",
            "city": "MANHATTAN",
            "state": "IL",
            "postal_code": "604421020",
            "telephone_number": "708-590-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10062 W 190TH PL STE 114",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488757",
            "telephone_number": "708-590-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "SUERTH",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_middle_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-590-9870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "E.D., LCPC"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.