Individual provider Active NPI

Nicholas Charles Suivski, PT, DPT

  • Physical Therapist
  • Denver, CO
National Provider Identifier
1215453188
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0015105 Issued in CO
Practice address
1164 S Acoma St
Denver, CO 80210-1592
Phone
(772) 485-4445
NPI assigned
Aug 22, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT32970 FL
Physical Therapist 225100000X PTL.0015105 CO Primary

Addresses

Primary practice location

1164 S Acoma St
Denver, CO 80210-1592

Mailing address

1164 S Acoma St Unit 378C
Denver, CO 80210-1648
Phone (772) 485-4445

Other practice location 1

108 N Adams St
Quincy, FL 32351-2404
Phone (850) 875-0333

Other practice location 2

301 S Jefferson St
Perry, FL 32347-3236
Phone (850) 584-4006

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0015105COMDPhysical Therapist
PT32970FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Physical Solutions LLC CurrentSince May 3, 2020 Accepting new patients
Regional Therapy Services Inc Past Accepting new patients

Organizations & group practices 2

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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1215453188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 S ACOMA ST UNIT 378C",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101648",
            "telephone_number": "772-485-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 S ACOMA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802101592",
            "telephone_number": "772-485-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 N Adams St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "FL",
            "postal_code": "323512404",
            "country_code": "US",
            "telephone_number": "850-875-0333",
            "fax_number": "850-875-0335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 S Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "FL",
            "postal_code": "323473236",
            "country_code": "US",
            "telephone_number": "850-584-4006",
            "fax_number": "850-584-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUIVSKI",
        "first_name": "NICHOLAS",
        "middle_name": "CHARLES",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32970",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.