Active NPI
Suzanne L Kole, MPT
- Physical Therapist
- Loganville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6789
- 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
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 |
|---|---|---|---|---|
| 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
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
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.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Health Services | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy-South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Healthcare Services, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy - South Carolina, LLC | Physical Therapist | Current | Accepting new patients |
| Nevada Physical Therapy Inc | Physical Therapist | Past | 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.
-
- Physical Therapist
- Columbia, SC
- NPI 1841622354
-
- Physical Therapist
- Easley, SC
- NPI 1457842643
-
- Physical Therapist
- Camden, SC
- NPI 1154816833
-
- Physical Therapist
- Reno, NV
- NPI 1306802533
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.