Active NPI
Suzanne M Lyons, PTA
- Physical Therapy Assistant
- Freeport, IL
National Provider Identifier
1972412708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160.020741
- Practice address
- 1010 Fairway Dr
Freeport, IL 61032-6600 - Phone
- (815) 599-6340
- NPI assigned
- Sep 7, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.020741 | IL | Primary |
Addresses
Primary practice location
1010 Fairway Dr
Freeport, IL 61032-6600
Mailing address
5234 S Willow Rd
Stockton, IL 61085-9405
Phone (815) 762-9785
Other names 1
- Sue Lyons
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1972412708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5234 S WILLOW RD",
"city": "STOCKTON",
"state": "IL",
"postal_code": "610859405",
"telephone_number": "815-762-9785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 FAIRWAY DR",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610326600",
"telephone_number": "815-599-6340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "SUZANNE",
"middle_name": "M",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-07",
"last_updated": "2026-09-07",
"certification_date": "2026-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160.020741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUE",
"last_name": "LYONS",
"credential": "PTA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Freeport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.