Kerry Kathleen Suarez, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60119190 Issued in WA

Practice address

707 S. Park St.
Deer Park, WA 99006

Phone

(509) 276-8811

Fax

(866) 629-4801

NPI assigned

May 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ms. Kerry K Beardslee Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Bracing, IncGroup PAC ID 1153492533, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dynamic Bracing, Inc

  • Durable Medical Equipment & Medical Supplies
  • Spokane, WA
  • NPI 1023008505
  Medicare reassignment Care Compare group NPD
• Deer Park Physical Therapy Inc

  • Physical Therapist
  • Deer Park, WA
  • NPI 1306903182
  Medicare reassignment NPD
• Synergy Healthcare Inc.

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1780741439
  Medicare reassignment NPD
• Revive Therapeutic Massage

  • Massage Therapist
  • Deer Park, WA
  • NPI 1427766328
  NPD
• Center for Physical Therapy & Wellness Inc

  • Physical Therapy Clinic/Center
  • Butte, MT
  • NPI 1790866259
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1336194158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S. PARK ST.",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "99006",
            "telephone_number": "509-276-8811",
            "fax_number": "866-629-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S. PARK ST.",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "99006",
            "telephone_number": "509-276-8811",
            "fax_number": "866-629-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "KERRY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1916-PT",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60119190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03401515",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "BEARDSLEE",
            "middle_name": "K",
            "prefix": "MS.",
            "credential": "M.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jon Sok, DMD
• Wendy J Sonduck, PHARMD
• Jillian Sparkes
• Spokane County Fire District No-4
• Georgia Katherine Stultz
• Jennifer Sullivan, COTA/L
• Suncrest Chiropractic and Massage PLLC
• Marlee Swem, PMHNP-BC
• Megan Ashton Tapiz, M.S.
• Kara Alaine Teal, MS

• Physical Therapist in Deer Park, WA
• Providers in Deer Park, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.