Active NPI
Susan Jill Burgess, DPT
- Physical Therapist
- Bridgeville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT029582
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810029542 | Medicaid | WV |
Other names 1
- Susan Jill Huxley
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT029582 | PA | MD | Physical Therapist |
| PT003529 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fritz Physical Therapy and Sports Medicine, PLLC | Physical Therapist | Current | 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.
-
- Orthopedic Physical Therapist
- Carnegie, PA
- NPI 1992905772
-
- Physical Therapist
- Bridgeville, PA
- NPI 1841283553
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.