Individual provider Active NPI

Suzanne Vanderkooi, DPT

  • Physical Therapist
  • Prescott, AZ
National Provider Identifier
1518270941
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP026174T Issued in AZ
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

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20240307002640 MO Practitioner - Physical Therapist in Private Practice 4981832250 Reassigns benefits to 1 organization

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
Rehabsuite IncGroup PAC ID 1254799745, 29 clinicians

Practice addresses (Care Compare)

Kirkwood, MO 63122
Phone (928) 296-9285

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP026174TAZMDPhysical Therapist
2022020625MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabsuite Inc Physical Therapist CurrentSince Jan 9, 2024 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

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.

Verify at the official NPI Registry.