Active NPI
Amanda Sussman, PT, DPT
- Physical Therapist
- Clifton, NJ
National Provider Identifier
1376495440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02399700
- Practice address
- 1135 Broad St
Clifton, NJ 07013-3346 - Phone
- (973) 574-8585
- NPI assigned
- Feb 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 40QA02399700 | NJ | |
| Orthopedic Physical Therapist | 2251X0800X | 40QA02399700 | NJ | |
| Physical Therapist | 225100000X | 40QA02399700 | NJ | Primary |
Addresses
Primary practice location
1135 Broad St
Clifton, NJ 07013-3346
Mailing address
80 Lenox Rd
Wayne, NJ 07470-5551
Phone (551) 204-0913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02399700 | NJ | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1376495440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 LENOX RD",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705551",
"telephone_number": "551-204-0913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1135 BROAD ST",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070133346",
"telephone_number": "973-574-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSSMAN",
"first_name": "AMANDA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-11",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NJ",
"license": "40QA02399700",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NJ",
"license": "40QA02399700",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02399700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.