Jeremy Suitor, PT, DPT OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT291877 Issued in CA

Practice address

1838 Kendrick St
Saginaw, MI 48602-1184

Phone

(989) 721-2002

NPI assigned

Oct 15, 2015

Last updated

Feb 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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.

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1346611456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 KENDRICK ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486021184",
            "telephone_number": "989-721-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 KENDRICK ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486021184",
            "telephone_number": "989-721-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUITOR",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-15",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017428",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1267366",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT291877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soundharya Subramaniam, MEDICAL STUDENT
• Paula Suchodolski, LMSW
• Ramaprabha Sudarsi, RPH
• Nijzha Suggs
• Jung Suhr, MD
• Kizhakepat Sukumaran, M.D.
• Nasser Khalil Suleiman, MD
• Breanna Sullivan
• Kari Lyn Sullivan, FNP-C
• Megan Sullivan

• Physical Therapist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.