Individual provider Active NPI

Susan Jill Burgess, DPT

  • Physical Therapist
  • Bridgeville, PA
National Provider Identifier
1588040430
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029582 Issued in PA
Practice address
1597 Washington Pike Ste A15
Bridgeville, PA 15017-2874
Phone
(412) 278-1221
NPI assigned
Aug 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT003529 WV
Physical Therapist 225100000X PT029582 PA Primary

Addresses

Primary practice location

1597 Washington Pike Ste A15
Bridgeville, PA 15017-2874

Mailing address

1597 Washington Pike Ste A15
Bridgeville, PA 15017-2874
Phone (412) 278-1221

Other practice location 1

4301 MacCorkle Ave SE
Charleston, WV 25304-2503
Phone (304) 720-9185

Other identifiers 1

IdentifierTypeStateIssuer
3810029542MedicaidWV

Other names 1

  • Susan Jill Huxley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT029582PAMDPhysical Therapist
PT003529WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fritz Physical Therapy and Sports Medicine, PLLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients
Fritz Physical Therapy & Sports Medicine, PLLC Physical Therapist Past Accepting new patients

Locations

1597 Washington Pike
Ste A15
Bridgeville, PA 15017
Phone (412) 221-7886

918 Washington Ave
Carnegie, PA 15106
Phone (412) 278-1221

134 Shenot Rd
Wexford, PA 15090
Phone (412) 737-4239

Organizations & group practices 2

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": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1588040430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 WASHINGTON PIKE STE A15",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172874",
            "telephone_number": "412-278-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 WASHINGTON PIKE STE A15",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172874",
            "telephone_number": "412-278-1221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 MacCorkle Ave SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253042503",
            "country_code": "US",
            "telephone_number": "304-720-9185",
            "fax_number": "304-720-9186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "SUSAN",
        "middle_name": "JILL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT003529",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810029542",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HUXLEY",
            "middle_name": "JILL",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.