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

Mr. Michael Lisuzzo, DPT

Individual provider Physical Therapist · NPI 1770041675

Mr. Michael Lisuzzo, DPT is a Physical Therapist in Private Practice in Palos Park, Illinois. Qualified in 2014, 12 years ago. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

10300 Village Circle Dr
Palos Park, IL 60464-3541
Phone: (708) 361-3683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070021012 (IL)

Record details

NPI number1770041675
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 9, 2019
Last updated in NPPESMarch 9, 2019
Mailing address6007 S Kilpatrick Ave, Chicago, IL 60629-5415

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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