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

Tyson A Goken, PT

Individual provider Physical Therapist · NPI 1538447941

Tyson A Goken, PT is a Physical Therapist in Private Practice in Sugar Grove, Illinois. Qualified in 2011, 15 years ago. Practices with Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA, a 385-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

38 S Main St Ste Aandb
Sugar Grove, IL 60554-5031
Phone: (631) 466-5866
Fax: (631) 466-5869
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1337 Lily Cache Ln, Bolingbrook, IL 60490-4600 — (630) 226-5110
  • 1480 Douglas Rd, Oswego, IL 60543-5106 — (331) 216-0100

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070018662 (IL)

Record details

NPI number1538447941
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 2, 2011
Last updated in NPPESSeptember 16, 2022
Certification dateSeptember 16, 2022
Mailing address1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ivyrehab Physical Therapy, Occupational Therapy And Speech Language Pa — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sugar Grove