Hunter Sussky

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070021117 Issued in IL

Practice address

781 S McHenry Ave
Crystal Lake, IL 60014-7444

Phone

(815) 455-7800

Fax

(815) 455-1299

NPI assigned

Jun 24, 2014

Last updated

Feb 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: hsussky39089@ehrdirect.uhhospitals.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sports Physical Therapy & Rehab Specialists, S.C.

  dba Athletico Physical Therapy

  • Physical Therapist
  • Kenosha, WI
  • NPI 1326150624
  NPD (past)

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1164837662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-1916",
            "fax_number": "630-928-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 S MCHENRY AVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147444",
            "telephone_number": "815-455-7800",
            "fax_number": "815-455-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSSKY",
        "first_name": "HUNTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Health and Wellness of Crystal Lake, LTD.
• Sean Mark Labastida Superticioso, PT
• Nicolette Surico, LCPC
• Richard Joseph Surowiak, O.D.
• Susan J. Coe, PHD., P.C.
• Sharon Ruth Swan, L.P.N.
• Swank Therapy LLC
• Alex Kazimier Swanson, DC
• Susan G Swanson, DNP
• Lyubomyra Sydor

• Physical Therapist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.