Individual provider Active NPI

Maria Rizza Mariazeta Santiago, PT

  • Physical Therapist
  • Northbrook, IL
National Provider Identifier
1235440066
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070016705 Issued in IL
Practice address
1535 Lake Cook Rd Ste 306
Northbrook, IL 60062-1452
Phone
(224) 522-6550
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070016705 IL Primary

Addresses

Primary practice location

1535 Lake Cook Rd Ste 306
Northbrook, IL 60062-1452

Mailing address

1535 Lake Cook Rd Ste 306
Northbrook, IL 60062-1452
Phone (224) 522-6550

Other names 1

  • Maria Rizza Dychitan Mariazeta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121012000359 IL Practitioner - Physical Therapist in Private Practice 3779732409 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rex Therapeutics, LLCGroup PAC ID 7315342219, 21 clinicians
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

1922 W Sunnyside Ave
Chicago, IL 60640-0205
Phone (312) 709-7209

600 Dunham Rd
St Charles, IL 60174-7885
Phone (630) 642-2425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070016705ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Therapeutics, LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Mar 27, 2023 Accepting new patients
Rehab Maxx LLC Physical Therapist CurrentSince Apr 16, 2024 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Mar 27, 2023 Accepting new patients

Locations

415 W Golf Rd
Ste 52
Arlington Hts, IL 60005
Phone (847) 258-5420

1390 S Crescent St
Gilman, IL 60938
Phone (414) 721-8669

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

7836 Frontage Rd
Skokie, IL 60077
Phone (414) 721-8669

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1235440066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD STE 306",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621452",
            "telephone_number": "224-522-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 LAKE COOK RD STE 306",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621452",
            "telephone_number": "224-522-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "MARIA RIZZA",
        "middle_name": "MARIAZETA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA RIZZA",
            "last_name": "MARIAZETA",
            "middle_name": "DYCHITAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.