Super Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT009952L Issued in PA

Legal business name

SUPER PHYSICAL THERAPY, LLC

Practice address

5472 Falcon CT
Bethlehem, PA 18017-8211

Phone

(484) 951-2654

Fax

(610) 837-1693

NPI assigned

Dec 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steven Michael Super, DPTNPI 1366630956

Title

Owner

Phone

(484) 951-2654

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Michael Super, D.P.T. AND CPA

  • Physical Therapist
  • Bethlehem, PA
  • NPI 1366630956
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682812800000",
    "number": "1063695088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5472 FALCON CT",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178211",
            "telephone_number": "484-951-2654",
            "fax_number": "610-837-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5472 FALCON CT",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178211",
            "telephone_number": "484-951-2654",
            "fax_number": "610-837-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2023-04-30",
        "certification_date": "2023-04-30",
        "status": "A",
        "authorized_official_last_name": "SUPER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-951-2654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PA",
            "license": "PT009952L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "265408",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "718809",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50075511",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James M Sunday, M.D.
• Kelly Ann Sunday, MS, NCC, LPC
• Deborah W Sundlof, DO
• Mary Julieanne Kay Sundo, MD
• Shanthan Sunku, MD
• Lyn Meade Super, D.D.S.
• Steven Michael Super, D.P.T. AND CPA
• Superior Cardiac Imaging LLC
• Superior Medical Transportation Services LLC
• Supportive Care Resources

• Physical Therapy Clinic/Center in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Physical Therapy Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.