Individual provider Active NPI

Suzanne Elizabeth Sjem, P.T., M.S., D.P.T.

  • Physical Therapist
  • Huntington, NY
National Provider Identifier
1295861219
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
026321-1 Issued in NY
Practice address
200 W Carver St
Suite 4
Huntington, NY 11743-3303
Phone
(631) 385-1155
Fax
(631) 385-0813
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 026321-1 NY Primary

Addresses

Primary practice location

200 W Carver St
Suite 4
Huntington, NY 11743-3303

Mailing address

200 W Carver St
Suite 4
Huntington, NY 11743-3303
Phone (631) 385-1155

Other identifiers 1

IdentifierTypeStateIssuer
840635OtherNYMPN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200818004099 TN Practitioner - Physical Therapist in Private Practice 1951477132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

517 N Main St
Suite B
Greeneville, TN 37745-3428
Phone (423) 638-1111

5220 Park Ave
Suite 201
Memphis, TN 38119-3549
Phone (901) 683-9630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
026321-1NYMDPhysical Therapist
026321NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc CurrentSince Jan 9, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jan 9, 2024 Accepting new patients
Independent Physical Therapy, LLC Physical Therapist CurrentSince Jul 31, 2020 Accepting new patients
Agilitas USA Inc Physical Therapist Current Accepting new patients
Nassau Sports Physical Therapy & Rehabilitation PC Past Accepting new patients
Nassau Sports Physical Therapy of Huntington PC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192

225 W Summer St
Greeneville, TN 37743
Phone (423) 638-1111

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295861219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W CARVER ST",
            "address_2": "SUITE 4",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433303",
            "telephone_number": "631-385-1155",
            "fax_number": "631-385-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CARVER ST",
            "address_2": "SUITE 4",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433303",
            "telephone_number": "631-385-1155",
            "fax_number": "631-385-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SJEM",
        "first_name": "SUZANNE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "P.T., M.S., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "026321-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPN",
            "identifier": "840635",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.