Susanna Watts Riley, P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Practice address

17370 W Gages Lake Rd
Gages Lake, IL 60030-1831

Phone

(847) 856-2773

NPI assigned

Feb 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Susanna Routh Watts Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• CGH Medical Center

  • General Acute Care Hospital
  • Sterling, IL
  • NPI 1902854623
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1528031887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 GREYSTEM CIR",
            "address_2": "APARTMENT 301",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600319358",
            "telephone_number": "970-497-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17370 W GAGES LAKE RD",
            "city": "GAGES LAKE",
            "state": "IL",
            "postal_code": "600301831",
            "telephone_number": "847-856-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "SUSANNA",
        "middle_name": "WATTS",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSANNA",
            "last_name": "WATTS",
            "middle_name": "ROUTH",
            "prefix": "MISS",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Johneil Torena Juckett
• Myungjin Kim
• Erin Marie Macdonald, MS, CCC-SLP
• Guadalupe Martinez, CCC-SLP
• Christina Panzl, CCC-SLP
• Rosalinda Ring
• Tracey Sackett
• Alyssa Joanne Schwark, AUD
• Brittany Ann Smith
• Megan Sowle, AU.D.

• Pediatric Physical Therapist in Gages Lake, IL
• Providers in Gages Lake, IL by specialty
• Pediatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.