Individual provider Active NPI

Ryan Schuetzle

  • Orthotist
  • Skokie, IL
National Provider Identifier
1730680547
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
213.000345 Issued in IL
Practice address
4711 Golf Rd Ste 525
Skokie, IL 60076-1217
Phone
(224) 470-8550
Fax
(224) 470-8553
NPI assigned
Feb 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X 211.000313 IL
Orthotist 222Z00000X 213.000345 IL Primary

Addresses

Primary practice location

4711 Golf Rd Ste 525
Skokie, IL 60076-1217

Mailing address

4711 Golf Rd Ste 525
Skokie, IL 60076-1217
Phone (224) 470-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
213.000345ILMDOrthotist
211.000313ILMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
PR Orthotics & OT, LLC Orthotist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1730680547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 525",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761217",
            "telephone_number": "224-470-8550",
            "fax_number": "224-470-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 525",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761217",
            "telephone_number": "224-470-8550",
            "fax_number": "224-470-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUETZLE",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-27",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "IL",
            "license": "211.000313",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "IL",
            "license": "213.000345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.