Suzanna Clark, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05008120A Issued in IN

Practice address

4321 Fir St
East Chicago, IN 46312-3097

Phone

(219) 392-7400

Fax

(219) 392-7408

NPI assigned

May 21, 2018

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 21, 2018.

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1326539743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2948 W 20TH PL",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464042660",
            "telephone_number": "219-793-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 FIR ST",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123097",
            "telephone_number": "219-392-7400",
            "fax_number": "219-392-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SUZANNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008120A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherish Open Arms PHC LLC
• Chikare Health Services Inc
• Chikare Health System PC
• Debbie Choate, BA
• City of East Chicago
• Cleo Caring Hearts LLC
• Rache Clifton
• Melanie Collins
• Mikeria Lashawn Collins
• Community Healthnet, Inc

• All providers in East Chicago, IN
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.