Active NPI
Summit Physical Therapy Inc
- Physical Therapist
- Pocono Summit, PA
National Provider Identifier
1558387639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013626L
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jeffery Joseph Sukenick, MSPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Pocono Summit, PA
- NPI 1881692614
-
- Physical Therapist
- Kresgeville, PA
- NPI 1457401614
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
- Dorothy Ann Sautter, PSYCHOLOGIST
- Alison Margaret Scerbo, DNP
- St. Luke's Hospital Monroe Campus (St. Luke's Care Now - Pocono Summit)
- St. Luke's Physician Group, Inc. (St. Luke's Primary Care - Pocono Summit)
- Jeffery Joseph Sukenick, P.T.
- Summit Smiles PLLC
- Vision Innovation Centers of PA LLC
- Vision Innovation Centers of Pennsylvania LLC
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.