Individual provider Active NPI

Craig Suchecki, DPT

  • Physical Therapist
  • Manasquan, NJ
National Provider Identifier
1386408805
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02237100 Issued in NJ
Practice address
155 Main St
Manasquan, NJ 08736-3544
Phone
(732) 592-2224
NPI assigned
Feb 6, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA02237100 NJ Primary

Addresses

Primary practice location

155 Main St
Manasquan, NJ 08736-3544

Mailing address

42 Sylvania Ave
Avon by the Sea, NJ 07717-1433
Phone (732) 609-4506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240517000025 NJ Practitioner - Physical Therapist in Private Practice 3870934128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Orthopedic and Sports Therapy LLCGroup PAC ID 7810260999, 5 clinicians

Practice addresses (Care Compare)

155 Main St
Manasquan, NJ 08736-3544
Phone (732) 320-9069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Orthopedic and Sports Therapy LLC Multi-Specialty CurrentSince Mar 17, 2024 Accepting new patients

Locations

155 Main St
Manasquan, NJ 08736
Phone (732) 320-9069

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1386408805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 SYLVANIA AVE",
            "city": "AVON BY THE SEA",
            "state": "NJ",
            "postal_code": "077171433",
            "telephone_number": "732-609-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 MAIN ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363544",
            "telephone_number": "732-592-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCHECKI",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02237100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.