Individual provider Active NPI

Suzanne L Kole, MPT

  • Physical Therapist
  • Loganville, GA
National Provider Identifier
1437199080
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6789 Issued in SC
Practice address
3869 Highway 81 South
Loganville, GA 30052-3918
Phone
(678) 635-8280
Fax
(678) 635-8285
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2035 NV
Physical Therapist 225100000X PT009186 GA
Physical Therapist 225100000X 6789 SC Primary

Addresses

Primary practice location

3869 Highway 81 South
Loganville, GA 30052-3918

Mailing address

3869 Highway 81 South
Loganville, GA 30052-3918
Phone (678) 635-8280

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120824000499 SC Practitioner - Physical Therapist in Private Practice 8022011832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Benchmark Healthcare Services LLCGroup PAC ID 3779726468, 136 clinicians
Drayer Physical Therapy-South Carolina ,LLCGroup PAC ID 7315171394, 43 clinicians
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

11107 Broad River Rd
Suite T
Irmo, SC 29063-7602
Phone (803) 769-7909

2440 Augusta Hwy
Suite a
Lexington, SC 29072-2247
Phone (803) 769-3301

3032 W Montague Ave
Suite 101
North Charleston, SC 29418-7921
Phone (843) 885-8772

370 E 5TH N St
Summerville, SC 29483-6826
Phone (843) 737-6913

7585 Saint Andrews Rd
Irmo, SC 29063-2806
Phone (803) 749-5031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Health Services Physical Therapist CurrentSince Jun 13, 2024 Accepting new patients
Drayer Physical Therapy-South Carolina, LLC Physical Therapist Current Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jun 13, 2024 Accepting new patients
Benchmark Healthcare Services, LLC Physical Therapist CurrentSince Jun 13, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jun 13, 2024 Accepting new patients
Drayer Physical Therapy - South Carolina, LLC Physical Therapist CurrentSince Oct 1, 2013 Accepting new patients
Nevada Physical Therapy Inc Physical Therapist PastSince Sep 1, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1000 Tanner Ford Blvd
Ste 370
Hanahan, SC 29410
Phone (843) 718-1058

95 Mathews Dr
Ste D5
Hilton Head Island, SC 29926
Phone (843) 681-5640

7585 Saint Andrews Rd
Irmo, SC 29063
Phone (803) 749-5031

11107 Broad River Rd
Ste T
Irmo, SC 29063
Phone (803) 769-7909

3032 W Montague Ave
Ste 101
North Charleston, SC 29418
Phone (843) 885-8772

Organizations & group practices 7

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1437199080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3869 HIGHWAY 81 SOUTH",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523918",
            "telephone_number": "678-635-8280",
            "fax_number": "678-635-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3869 HIGHWAY 81 SOUTH",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523918",
            "telephone_number": "678-635-8280",
            "fax_number": "678-635-8285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLE",
        "first_name": "SUZANNE",
        "middle_name": "L",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2035",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009186",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.