Active NPI
Alexandra Suellentrop, PT, DPT
- Physical Therapist
- Castle Rock, CO
National Provider Identifier
1629762299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.029295
- Practice address
- 725 Wilcox St
Castle Rock, CO 80104-1740 - Phone
- (720) 457-5535
- NPI assigned
- Jun 6, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.029295 | IL | Primary |
| Physical Therapist | 225100000X | 0019163 | CO |
Addresses
Primary practice location
725 Wilcox St
Castle Rock, CO 80104-1740
Mailing address
20421 E Three Pines Ranch PL
Parker, CO 80134-5986
Phone (720) 475-0080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5151 N Broadway St
Chicago, IL 60640-3009
Phone (773) 784-9406
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0019163 | CO | MD | Mental Health Counselor |
| 070.029295 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rci (WRS), LLC | Current | Accepting new patients | |
| Rci (WRS), LLC | Current | Accepting new patients | |
| Rci (WRS), LLC. | Physical Therapist | Current | Accepting new patients |
Locations
5151 N Broadway St
Chicago, IL 60640
Phone (773) 784-9406
826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Mokena, IL
- NPI 1568160950
-
- Rehabilitation Clinic/Center
- Oak Lawn, IL
- NPI 1912511080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1629762299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20421 E THREE PINES RANCH PL",
"city": "PARKER",
"state": "CO",
"postal_code": "801345986",
"telephone_number": "720-475-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WILCOX ST",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801041740",
"telephone_number": "720-457-5535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUELLENTROP",
"first_name": "ALEXANDRA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-06",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.029295",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "0019163",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.