Erika Sutton, P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1200372 Issued in TX

Practice address

611 W Hwy 6
Suite 101
Waco, TX 76710-7544

Phone

(254) 776-3070

Fax

(254) 776-7909

NPI assigned

Sep 20, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Erika Kuklewski Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Active Therapy Group LLCGroup PAC ID 0648636597, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Active Therapy Group LLC

  • Physical Therapy Clinic/Center
  • Waco, TX
  • NPI 1326745647
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1114235546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W HIGHWAY 6 STE 101",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107545",
            "telephone_number": "254-776-3070",
            "fax_number": "254-776-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W HWY 6",
            "address_2": "SUITE 101",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107544",
            "telephone_number": "254-776-3070",
            "fax_number": "254-776-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "ERIKA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1200372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "KUKLEWSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsey Elizabeth Sullivan, SLP - ASSISTANT
• Summit Wellness - Central Texas LLC
• Sunny Day Center One LP
• Surgical Associates, P.a.
• Carleigh Sutherland, OTR
• Meghan Danielle Sutton, FNP-C
• Herbert Lee Svec, R.PH
• Amber Swain
• Swan Health & Wellness LLC
• Swan Health & Wellness LLC

• Orthopedic Physical Therapist in Waco, TX
• Providers in Waco, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.