Organization Active NPI

Summit Physical Therapy Inc

  • Physical Therapist
  • Pocono Summit, PA
National Provider Identifier
1558387639
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013626L Issued in PA
Legal business name
SUMMIT PHYSICAL THERAPY INC
Practice address
Route 940
Pocono Summit Plaza
Pocono Summit, PA 18346-0627
Phone
(570) 839-8818
Fax
(570) 839-9140
NPI assigned
Jul 14, 2006
Last updated
Jan 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Mr. Jeffery Joseph Sukenick, MSPTNPI 1881692614
Title
Physical Therapist
Phone
(570) 839-8818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013626L PA Primary

Addresses

Primary practice location

Route 940
Pocono Summit Plaza
Pocono Summit, PA 18346-0627

Mailing address

PO Box 627
Pocono Summit, PA 18346-0627
Phone (570) 839-8818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061025000071 PA Part B Supplier - Clinic/Group Practice 8820093727 Receives reassigned benefits from 1 practitioner
Practice locations: Pocono Summit, PA

National Provider Directory

National Provider Directory

Locations

2657 Route 940
Unit 114
Pocono Summit, PA 18346
Phone (570) 839-8818

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1558387639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 627",
            "city": "POCONO SUMMIT",
            "state": "PA",
            "postal_code": "183460627",
            "telephone_number": "570-839-8818",
            "fax_number": "570-839-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROUTE 940",
            "address_2": "POCONO SUMMIT PLAZA",
            "city": "POCONO SUMMIT",
            "state": "PA",
            "postal_code": "183460627",
            "telephone_number": "570-839-8818",
            "fax_number": "570-839-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "SUKENICK",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "570-839-8818",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT013626L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocono Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.