Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497045405 Individual Practitioner Female Practitioner

Sally Sutkowski , R, PT

Physical Therapist • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Sally Sutkowski, R, PT is a registered healthcare professional specializing in Physical Therapist in Peoria, IL. Practice services are available at 5401 N KNOXVILLE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5401 N Knoxville Ave
Suite 117

Peoria, IL 616145098

Telephone 3096718749
Associated Practice Facility / Clinic
🏢 Frank I Russo Facility NPI 1639140833

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.9 Yrs
State Avg: 16.6 Yrs
Regional Practice Density
244 Specialists

Practicing in Peoria, IL (12173 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License IL 070000502

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
070000502 (IL)
Commercial Insurance / Payer ID Group Ptan
216706 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Yibing Li , MD

Physical Medicine & Rehabilitation

NPI 1013923929

Doctor of Medicine (M.D.)

Barbara Nall , APN

Nurse Practitioner - Women's Health

NPI 1053383471

Advanced Practice Nurse

Susan Gwillim , PT

Physical Therapist

NPI 1053410159

Physical Therapist

Dr. Kevin Henry , MD

Anesthesiology - Pain Medicine

NPI 1063490183

Doctor of Medicine (M.D.)

Colleen Cushing Ragon , APN, CNS

Nurse Practitioner - Family

NPI 1073804217

Advanced Practice Nurse, Clinical Nurse Specialist

Anne Waldrop , PT

Physical Therapist

NPI 1114026192

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 17, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2011

Registered at 5401 N KNOXVILLE AVE, SUITE 117, PEORIA, IL 616145098 (Tel: 3096718749)

📍
Updated Business Mailing Address October 17, 2011

Registered at 4755 N GRANDVIEW DR, PEORIA, IL 616165418

👤
Provider Name / Credentials Updated October 17, 2011

Recorded as SALLY SUTKOWSKI, R, P.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2011

Physical Therapist (License #070000502 in IL)

🟢
Initial NPI Registration & Enumeration April 11, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1497045405
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2011
Last Update: October 17, 2011
Sole Proprietor: No

Mailing Address

4755 N Grandview Dr

Peoria, IL 616165418

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.