Active NPI
Nancy Kristensen Suarez, MS, PT
- Physical Therapist
- South Burlington, VT
National Provider Identifier
1083993653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040.0002800
- Practice address
- 1 Kennedy Dr
Suite L-2
South Burlington, VT 05403-7152 - Phone
- (802) 863-6662
- Fax
- (802) 861-2224
- NPI assigned
- Aug 12, 2011
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 040.0002800 | VT | Primary |
Addresses
Primary practice location
1 Kennedy Dr
Suite L-2
South Burlington, VT 05403-7152
Mailing address
PO Box 4061
Burlington, VT 05406-4061
Phone (802) 863-6662
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040.0002800 | VT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1083993653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4061",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054064061",
"telephone_number": "802-863-6662",
"fax_number": "802-861-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 KENNEDY DR",
"address_2": "SUITE L-2",
"city": "SOUTH BURLINGTON",
"state": "VT",
"postal_code": "054037152",
"telephone_number": "802-863-6662",
"fax_number": "802-861-2224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUAREZ",
"first_name": "NANCY",
"middle_name": "KRISTENSEN",
"name_prefix": "Mrs.",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-12",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VT",
"license": "040.0002800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.