Active NPI
Suzanne Marie Sadusky, PT
- Orthopedic Physical Therapist
- Huntersville, NC
National Provider Identifier
1073691291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 10176
- Practice address
- 16455 Statesville Rd Ste 102
Attn: Credentialing
Huntersville, NC 28078-7137 - Phone
- (704) 323-2809
- Fax
- (704) 339-1444
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 10176 | NC | Primary |
Addresses
Primary practice location
16455 Statesville Rd Ste 102
Attn: Credentialing
Huntersville, NC 28078-7137
Mailing address
1915 Randolph Rd
Attn: Credentialing
Charlotte, NC 28207-1101
Phone (704) 339-1224
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10176 | NC | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1073691291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 RANDOLPH RD",
"address_2": "ATTN: CREDENTIALING",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071101",
"telephone_number": "704-339-1224",
"fax_number": "704-339-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16455 STATESVILLE RD STE 102",
"address_2": "ATTN: CREDENTIALING",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787137",
"telephone_number": "704-323-2809",
"fax_number": "704-339-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADUSKY",
"first_name": "SUZANNE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "10176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
- Elaine Ryan, OT/L
- Pavel Alexandrovich Rybin, PA-C
- Jenna Rose Sackenheim, PA-C
- Jennifer Lynn Sadoff, PH.D.
- Joshua Simon Sadolf, M.D.
- Jenine Saekow, PSY.D.
- Myra Saha, D.O.
- Sal C Zammitti DMD MMSC PLLC and Matthew P Gidaly DDS PLLC V
- Sal C Zammitti DMD MMSC PLLC and Matthew P Gidaly DDS PLLC VI
- Jessica Fransica Salinas, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.