Jessica Ann Y Superticioso, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070027035 Issued in IL

Practice address

1140 E Algonquin Rd
Algonquin, IL 60102-3084

Phone

(847) 854-0196

Fax

(847) 854-0917

NPI assigned

Oct 7, 2024

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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Diamond Physical Therapy and Rehabilitation, PCGroup PAC ID 9830236355, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Diamond Physical Therapy and Rehabilitation, PC

  • Physical Therapist
  • Algonquin, IL
  • NPI 1134175771
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1821817875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 E ALGONQUIN RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601023084",
            "telephone_number": "847-854-0196",
            "fax_number": "847-854-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 E ALGONQUIN RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601023084",
            "telephone_number": "847-854-0196",
            "fax_number": "847-854-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPERTICIOSO",
        "first_name": "JESSICA ANN",
        "middle_name": "Y",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070027035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Staton, PA-C
• Kathleen Marie Stelton
• Jenny Strappelli, FNP
• Suburban Womens Health Specialists LTD
• Christine Sumara, M.A.CCC-SLP/L
• Olivia Surprenant
• Jamie Nicole Swiderski
• Ehteshamuddin Syed, MD
• Shahwar F Syed, M.D.
• Joshua Symbal, LPC

• Physical Therapist in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.