Individual provider Active NPI

Vicki Suarez, PT

  • Physical Therapist
  • Lakewood Ranch, FL
National Provider Identifier
1629353149
Registry record updated Oct 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14934 Issued in FL
Practice address
6514 Flycatcher LN
Lakewood Ranch, FL 34202-8268
Phone
(941) 350-5757
NPI assigned
Oct 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14934 FL Primary

Addresses

Primary practice location

6514 Flycatcher LN
Lakewood Ranch, FL 34202-8268

Mailing address

6514 Flycatcher LN
Lakewood Ranch, FL 34202-8268
Phone (941) 350-5757

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120213000233 FL Practitioner - Physical Therapist in Private Practice 4587821988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Louisiana State University School of Medicine in New Orleans, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rick Haupt Physical Therapy IncGroup PAC ID 9335306257, 4 clinicians

Practice addresses (Care Compare)

2620 S Tamiami TRL
Sarasota, FL 34239-4517
Phone (941) 955-1239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14934FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sugar Orthopaedics PA CurrentSince Sep 1, 2021 Accepting new patients
Rick Haupt Physical Therapy Inc Physical Therapist CurrentSince Jan 3, 2012 Accepting new patients
Progressive Rehabilitation Agency, Inc. Past Accepting new patients

Locations

2620 S Tamiami Trl
Fl 3
Sarasota, FL 34239

2620 S Tamiami Trl
Sarasota, FL 34239
Phone (941) 758-3140

2620 S Tamiami Trl
Ste 3
Sarasota, FL 34239

1630 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 556-6900

1776 S Tamiami Trl
Venice, FL 34293
Phone (941) 408-7476

Organizations & group practices 3

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": "1318723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318723200000",
    "number": "1629353149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6514 FLYCATCHER LN",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342028268",
            "telephone_number": "941-350-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6514 FLYCATCHER LN",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342028268",
            "telephone_number": "941-350-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "VICKI",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-16",
        "last_updated": "2011-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "14934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.