Individual provider Active NPI

Michelle Suski

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1073623567
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-006496 Issued in AZ
Practice address
2853 S Sossaman Rd
Ste A106
Mesa, AZ 85212-9625
Phone
(480) 373-9700
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-006496 AZ Primary

Addresses

Primary practice location

2853 S Sossaman Rd
Ste A106
Mesa, AZ 85212-9625

Mailing address

9713 E Olla Ave
Mesa, AZ 85212-2071
Phone (480) 326-3922

Other identifiers 1

IdentifierTypeStateIssuer
6496OtherAZLICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170426000283 AZ Practitioner - Physical Therapist in Private Practice 8527015270 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-006496AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC CurrentSince Mar 1, 2018 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Mar 1, 2018 Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients
BHSM Rehabilitation, LLC Past Accepting new patients

Locations (25 of 51)

13055 W McDowell Rd
Ste G107
Avondale, AZ 85392
Phone (623) 547-4787

10750 W McDowell Rd
Ste B210
Avondale, AZ 85392
Phone (623) 907-0746

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

2250 Highway 95
Ste B390
Bullhead City, AZ 86442
Phone (928) 610-2001

1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300

2055 W Frye Rd
Ste 2
Chandler, AZ 85224
Phone (480) 821-9840

655 S Dobson Rd
Ste B111
Chandler, AZ 85224
Phone (480) 426-8019

4015 S Arizona Ave
Ste C2
Chandler, AZ 85248
Phone (480) 426-8019

906 W University Ave
Ste 120
Flagstaff, AZ 86001
Phone (928) 556-9935

2940 E Banner Gateway Dr
Ste 425
Gilbert, AZ 85234
Phone (480) 543-2000

3507 S Mercy Rd
Ste A8
Gilbert, AZ 85297

3507 S Mercy Rd
Ste 105
Gilbert, AZ 85297
Phone (480) 926-0404

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

4344 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 548-0228

6320 W Union Hills Dr
Ste 265
Glendale, AZ 85308
Phone (602) 373-6724

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

17430 N Porter Rd
Ste 110
Maricopa, AZ 85138
Phone (520) 208-2033

2853 S Sossaman Rd
Ste A106
Mesa, AZ 85212
Phone (480) 326-3922

10165 E Hampton Ave
Ste 111
Mesa, AZ 85209
Phone (480) 354-5424

1255 W Baseline Rd
Ste 140
Mesa, AZ 85202
Phone (480) 820-7675

2225 W Southern Ave
Bldg 1300
Mesa, AZ 85202
Phone (480) 330-0456

5151 E Broadway Rd
Ste 102
Mesa, AZ 85206
Phone (480) 396-9922

1309 N Greenfield Rd
Ste 102
Mesa, AZ 85205
Phone (480) 210-1706

126 E Main St
Ste C
Payson, AZ 85541
Phone (928) 468-8907

25101 N Lake Pleasant Pkwy
Ste B1340
Peoria, AZ 85383
Phone (602) 610-6866

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1073623567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9713 E OLLA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122071",
            "telephone_number": "480-326-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 S SOSSAMAN RD",
            "address_2": "STE A106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129625",
            "telephone_number": "480-373-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSKI",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-006496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "6496",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.