Suzanne Michele Bruce, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

118374 Issued in MO

Practice address

15201 Olive Blvd
Chesterfield, MO 63017-1810

Phone

(636) 532-1515

NPI assigned

Sep 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Suzanne Michele Kassing Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1316588593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3263 HAWTHORNE BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041618",
            "telephone_number": "314-771-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 OLIVE BLVD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171810",
            "telephone_number": "636-532-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "SUZANNE",
        "middle_name": "MICHELE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "118374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "KASSING",
            "middle_name": "MICHELE",
            "credential": "RRT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Freeman Brown III, MD
• Karen Gerilyn Brown
• Kathleen Brown
• Sandra Lynn Brown, OTRL CHT
• Steven M Brown, M.D.
• Michelle Jacqueline Brueggemann, MPT
• Bruening Dental LLC
• Andrew Roger Bruening, D.D.S.
• Carissa Bruening, D.D.S.
• Kimberly A Brune Shrum, NP-C

• Physical Therapist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.