Active NPI
Vicki Suarez, PT
- Physical Therapist
- Lakewood Ranch, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14934
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14934 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sugar Orthopaedics PA | Current | Accepting new patients | |
| Rick Haupt Physical Therapy Inc | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Sarasota, FL
- NPI 1508134586
FL, Physical Therapist
-
- Orthopaedic Surgery Physician
- Sarasota, FL
- NPI 1265665681
-
- Rehabilitation Clinic/Center
- Sarasota, FL
- NPI 1124142799
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.