Richard Adam Sukiennik, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5179 Issued in ME

Practice address

758 Broadway
Bangor, ME 04401-3224

Phone

(207) 941-8400

Fax

(207) 990-1745

NPI assigned

Sep 25, 2019

Sex

Male

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Denver Physical Therapy at Home

  • Physical Therapist
  • Aurora, CO
  • NPI 1558863662

  CO, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Rodrigo D. Rodriguez

  • Multi-Specialty Clinic/Center
  • Aurora, CO
  • NPI 1740648187
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Denver Physical Therapy at Home 16 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1013568617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013224",
            "telephone_number": "207-941-8400",
            "fax_number": "207-990-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "758 BROADWAY",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013224",
            "telephone_number": "207-941-8400",
            "fax_number": "207-990-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKIENNIK",
        "first_name": "RICHARD",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Stupakewicz, LCSW
• Cynthia Elaine Sturm, LCSW
• Rafal Subernat, D.O.
• Carla Jessica Sueldo Feijoo, M.D.
• Riim Aweis Suja, AGACNP-BC
• Ella J Sulinski, LMSW-CC
• Ann M Sullivan, LCSW
• Malachy J Sullivan, M.D.
• Sunbury Primary Care
• Sunbury Primary Care, P.a.

• All providers in Bangor, ME
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.