Daniel Suku Jezreel, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05009156A Issued in IN

Practice address

3122 Argento PL
Cedar Park, TX 78613-4357

Phone

(512) 516-3466

Fax

(855) 855-5188

NPI assigned

Sep 20, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sukuamr Arumugam Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Genesis Health at Home LLC

  • Home Health Agency
  • Austin, TX
  • NPI 1811663552
  NPD Authorized official
• Kinesis Home Health Care LLC

  • Home Health Agency
  • Round Rock, TX
  • NPI 1104389477
  NPD

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1063763787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 ARGENTO PL",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134357",
            "telephone_number": "512-516-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 ARGENTO PL",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134357",
            "telephone_number": "512-516-3466",
            "fax_number": "855-855-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEZREEL",
        "first_name": "DANIEL",
        "middle_name": "SUKU",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-20",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "TX",
            "license": "1273600",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009156A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUKUAMR",
            "last_name": "ARUMUGAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Martinez Child and Adolescent Counseling PLLC
• Jennifer Meadows, MD, PA
• Skyler Jennings, DC
• Jay Jerald Jensen, D.D.S.
• Joseph Jeskie, OD
• Maria Jimenez
• Neryth D Jimenez, M.ED.
• Oligario Jimenez
• David Michael Jinright, LCSW
• JM Acupuncture & Massage

• Physical Therapist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.