Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Cruz

Individual provider Physical Therapist · NPI 1124757752

Jonathan Cruz is an Occupational Therapist in Private Practice in Oak Lawn, Illinois. Qualified in 2021, 5 years ago. Practices with Genesis Orthopedics and Sports Medicine LLC, a 22-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

10201 S Cicero Ave Ste A
Oak Lawn, IL 60453-4672
Phone: (708) 658-2770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4400 W 95th St Ste 107, Oak Lawn, IL 60453-2656 — (708) 684-3000

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 056-014880 (IL)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1124757752
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 8, 2022
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022
Mailing address29373 Network Pl, Chicago, IL 60673-4672

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Genesis Orthopedics And Sports Medicine Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Oak Lawn