Suzanne C Delmerico, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502003023 Issued in MI

Practice address

339 Sunset Rd
Petoskey, MI 49770-9259

Phone

(231) 347-6636

Fax

(231) 347-2886

NPI assigned

Jan 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325808000000",
    "number": "1639449630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 SUNSET RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709259",
            "telephone_number": "231-347-6636",
            "fax_number": "231-347-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 SUNSET RD",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709259",
            "telephone_number": "231-347-6636",
            "fax_number": "231-347-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELMERICO",
        "first_name": "SUZANNE",
        "middle_name": "C",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502003023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trudy E Day, M.S.N., N.P.
• Jill Susanne Decker, M.D.
• Todd Edward Decker, MD
• Bruce G Deckinga, MD
• John J Degroot, O.D.
• Chandra L Delorenzo, DO
• Jane M Denay, CFNP
• Karen Denbesten, MD
• Kendra Denholm, LM, CPM
• Dennis E McGeath

• Physical Therapy Assistant in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.