Individual provider Active NPI

Joseph Suezo

  • Physical Therapist
  • Park Ridge, IL
National Provider Identifier
1700582541
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070028184 Issued in IL
Practice address
1601 N Western Ave
Park Ridge, IL 60068-1233
Phone
(847) 825-5531
NPI assigned
Feb 2, 2023
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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 070028184 IL Primary

Addresses

Primary practice location

1601 N Western Ave
Park Ridge, IL 60068-1233

Mailing address

365 Graceland Ave Unit 204
Des Plaines, IL 60016-7880
Phone (773) 231-3963

Other names 1

  • Joseph D Suezo Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240619001420 IL Practitioner - Physical Therapist in Private Practice 0345783288 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cortlyn Therapy PCGroup PAC ID 8729495684, 141 clinicians
Reliant Senior Living LLCGroup PAC ID 0446754451, 117 clinicians

Practice addresses (Care Compare)

1000 Sunset Ridge Rd
Northbrook, IL 60062-4008
Phone (224) 300-7284

12446 S Van Dyke Rd
Plainfield, IL 60585-2700
Phone (815) 216-4042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070028184ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cortlyn Therapy, PC Physical Therapist CurrentSince Jun 18, 2025 Accepting new patients
Dependable Care Staffing, LLC Physical Therapist CurrentSince May 6, 2024 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince May 16, 2025 Accepting new patients
Reliant Senior Living LLC Physical Therapist CurrentSince Dec 22, 2025 Accepting new patients
Reliant Senior Living LLC Physical Therapist CurrentSince Dec 22, 2025 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince May 16, 2025 Accepting new patients

Locations

2155 W Pierce Ave
Chicago, IL 60622
Phone (773) 252-2066

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

9933 Lawler Ave
Ste 206B
Skokie, IL 60077
Phone (847) 983-8417

28100 Torch Pkwy
Ste 600
Warrenville, IL 60555
Phone (630) 413-5817

7125 Janes Ave
Ste 300
Woodridge, IL 60517
Phone (630) 981-8000

5800 Granite Pkwy
Ste 325
Plano, TX 75024

Organizations & group practices 6

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": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1700582541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 GRACELAND AVE UNIT 204",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600167880",
            "telephone_number": "773-231-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N WESTERN AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681233",
            "telephone_number": "847-825-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUEZO",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-02",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070028184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPH D",
            "last_name": "SUEZO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.