Active NPI
Suzanne Vanderkooi, DPT
- Physical Therapist
- Prescott, AZ
National Provider Identifier
1518270941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP026174T
- Practice address
- 3623 Crossings Dr Ste 282
Prescott, AZ 86305-7101 - Phone
- (928) 296-9285
- Fax
- (928) 441-8421
- NPI assigned
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11384-024 | WI | |
| Physical Therapist | 225100000X | 2022020625 | MO | |
| Physical Therapist | 225100000X | CP026174T | AZ | Primary |
Addresses
Primary practice location
3623 Crossings Dr Ste 282
Prescott, AZ 86305-7101
Mailing address
PO Box 1398
Tolleson, AZ 85353-1130
Phone (928) 298-5528
Other practice location 1
1810 Kensington Dr
Waukesha, WI 53188-5616
Phone (262) 548-1400 ext. 319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Kirkwood, MO 63122
Phone (928) 296-9285
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP026174T | AZ | MD | Physical Therapist |
| 2022020625 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabsuite Inc | Physical Therapist | Current | Accepting new patients |
Locations
3623 Crossings Dr
Ste 282
Prescott, AZ 86305
Phone (928) 296-9285
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755475200000",
"number": "1518270941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1398",
"city": "TOLLESON",
"state": "AZ",
"postal_code": "853531130",
"telephone_number": "928-298-5528",
"fax_number": "928-441-8421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3623 CROSSINGS DR STE 282",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863057101",
"telephone_number": "928-296-9285",
"fax_number": "928-441-8421"
}
],
"practiceLocations": [
{
"address_1": "1810 Kensington Dr",
"address_purpose": "LOCATION",
"city": "Waukesha",
"state": "WI",
"postal_code": "531885616",
"country_code": "US",
"telephone_number": "262-548-1400 x319",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDERKOOI",
"first_name": "SUZANNE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2025-08-18",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "11384-024",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2022020625",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "CP026174T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
- Ann Charlotte Margareta Valentin, N.M.D.
- Valley Oximetry Incorporated (Valley Sleep Center)
- Valley Sleep Therapy Inc (Valley Sleep Therapy)
- Roger A. Van Atta, M.D.
- Cheryl B. Vandemark, PT
- Derek Vanderroest, PTA
- Hannah Vanderroest, RN
- Vanguard Medical Associates, PLLC
- Megan L. Vanmeter, ATR-BC, LPC-AT/S, &
- Karin Vannieuwenhuizen, P.A.-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.