Active NPI
Emily Tum Suden, DPT
- Physical Therapist
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT11374
- Practice address
- 21 Gateway Corners Park Ste 102
Columbia, SC 29203-8906 - Phone
- (803) 699-9775
- NPI assigned
- Jun 20, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT11374 | SC | Primary |
| Physical Therapist | 225100000X | PT014011 | GA | |
| Physical Therapist | 225100000X | PT21377 | NC |
Addresses
Primary practice location
21 Gateway Corners Park Ste 102
Columbia, SC 29203-8906
Mailing address
21 Gateway Corners Park Ste 102
Columbia, SC 29203-8906
Phone (803) 699-9775
Other names 1
- Emily Kiradjieff
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230526001686 | NC | Practitioner - Physical Therapist in Private Practice | 1850622549 | Reassigns benefits to 1 organization |
| I20230615001686 | SC | Practitioner - Physical Therapist in Private Practice | 1850622549 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cora South Carolina LLC
Practice addresses (Care Compare)
851 Heckle Blvd
Rock Hill, SC 29730-2806
Phone (839) 388-0908
876 Fording Island Rd
Bluffton, SC 29910-8677
Phone (843) 507-8473
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11374 | SC | MD | Pharmacist |
| PT21377 | NC | MD | Physical Therapist |
| PT11374 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Physical Therapy Associates LLC | Current | Accepting new patients | |
| Carolina Physical Therapy Associates LLC | Current | Accepting new patients | |
| Cora South Carolina LLC | Current | Accepting new patients | |
| Cora South Carolina LLC | Current | Accepting new patients | |
| Cora South Carolina LLC | Current | Accepting new patients | |
| Carolina Physical Therapy Associates LLC | Current | Accepting new patients | |
| First Physical Therapy LLC | Past | Accepting new patients | |
| First Physical Therapy LLC | Past | Accepting new patients | |
| First Physical Therapy, LLC | Past | Accepting new patients | |
| First Physical Therapy LLC | Past | Accepting new patients | |
| First Physical Therapy, LLC | Past | Accepting new patients | |
| First Physical Therapy, LLC | Past | Accepting new patients | |
| First Physical Therapy, LLC | Past | Accepting new patients | |
| First Physical Therapy, LLC | Past | Accepting new patients | |
| First Physical Therapy LLC | Past | Accepting new patients |
Locations
401 Attain St
Ste 121
Fuquay Varina, NC 27526
Phone (252) 443-0808
271 Old Barn Rd
#C
Hendersonville, NC 28791
Phone (828) 890-4905
876 Fording Island Rd
Ste 2
Bluffton, SC 29910
Phone (843) 507-8473
851 Heckle Blvd
Ste 115
Rock Hill, SC 29730
Phone (839) 388-0908
515 Carnes Crossing Blvd
Ste B
Summerville, SC 29486
Phone (843) 507-8190
Organizations & group practices 19
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.
-
- Rehabilitation Clinic/Center
- Chapel Hill, NC
- NPI 1710429543
NC
-
- Rehabilitation Clinic/Center
- Rock Hill, SC
- NPI 1831828029
-
- Rehabilitation Clinic/Center
- Murrells Inlet, SC
- NPI 1093123531
-
- Rehabilitation Clinic/Center
- Florence, SC
- NPI 1215492129
-
- Rehabilitation Clinic/Center
- Greenwood, SC
- NPI 1659871986
-
- Rehabilitation Clinic/Center
- North Charleston, SC
- NPI 1881177855
-
- Rehabilitation Clinic/Center
- Fort Mill, SC
- NPI 1356125207
-
- Rehabilitation Clinic/Center
- Harrisburg, NC
- NPI 1316554397
-
- Rehabilitation Clinic/Center
- Hendersonville, NC
- NPI 1336890086
-
- Rehabilitation Clinic/Center
- Batesburg-Leesville, SC
- NPI 1376972109
-
- Rehabilitation Clinic/Center
- Camden, SC
- NPI 1427590793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1629638762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 GATEWAY CORNERS PARK STE 102",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292038906",
"telephone_number": "803-699-9775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 GATEWAY CORNERS PARK STE 102",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292038906",
"telephone_number": "803-699-9775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUM SUDEN",
"first_name": "EMILY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-20",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "PT11374",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014011",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "PT21377",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "KIRADJIEFF",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.