Kimberly S. Suske, M.S. P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3850-024 Issued in WI

Practice address

521 E 4TH St
Washburn, WI 54891-9577

Phone

(715) 373-5931

NPI assigned

Jan 14, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1487830972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 686",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548910686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E 4TH ST",
            "city": "WASHBURN",
            "state": "WI",
            "postal_code": "548919577",
            "telephone_number": "715-373-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSKE",
        "first_name": "KIMBERLY",
        "middle_name": "S.",
        "credential": "M.S. P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3850-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40168200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Shrode, P.T.
• William Arthur Smith, D.C.
• David N Sneed
• Barbara J Snyder, MSED LPC
• Alan Matthew Spaude-Filipczak, LCSW
• Todd L Swanson, MSED LPC
• Adriana Swartz, OTR
• The Lakes Community Health Center, Inc
• Washburn School District
• Michael Jon Weispfenning, D.P.T.

• Physical Therapist in Washburn, WI
• Providers in Washburn, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.