Jill Denise Sutkus, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009254 Issued in GA

Practice address

11350 Woodstock Rd
Roswell, GA 30075-7541

Phone

(770) 645-2340

NPI assigned

Oct 17, 2017

Last updated

Oct 17, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sundance Rehabilitation Agency, LLC

  • Rehabilitation Clinic/Center
  • Athens, GA
  • NPI 1508281411
  NPD (past)
• Sundance Rehabilitation Agency, LLC

  • Rehabilitation Clinic/Center
  • Johns Creek, GA
  • NPI 1760437743
  NPD (past)

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508198400000",
    "number": "1245741289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PASIFINO PL",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752878",
            "telephone_number": "678-266-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 WOODSTOCK RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757541",
            "telephone_number": "770-645-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTKUS",
        "first_name": "JILL",
        "middle_name": "DENISE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Superior Quality Group, Inc
• Supportive Care of Georgia LLC
• Surgical Physicians of Atlanta
• Neima Nuru Surur, MD
• Sydney Mara Suss, DNP CRNA
• Nicholas B Swanner, MPT, GCS
• SWB Collective, LLC
• Swccounseling
• Sweet Apple Health Group
• Sweet Apple Medical Group

• Physical Therapist in Roswell, GA
• Providers in Roswell, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.