Individual provider Active NPI

Eiko Suzuki, DPT

  • Physical Therapist
  • Clearfield, UT
National Provider Identifier
1659002590
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12813166-2401 Issued in UT
Practice address
562 E 2200 S
Clearfield, UT 84015-6235
Phone
(832) 229-7005
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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 12813166-2401 UT Primary

Addresses

Primary practice location

562 E 2200 S
Clearfield, UT 84015-6235

Mailing address

562 E 2200 S
Clearfield, UT 84015-6235
Phone (832) 229-7005

Other names 1

  • Eiko Sillito Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eiko.sillito@imail.org Health Information Exchange (HIE)

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12813166-2401UTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1659002590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 E 2200 S",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840156235",
            "telephone_number": "832-229-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 E 2200 S",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840156235",
            "telephone_number": "832-229-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZUKI",
        "first_name": "EIKO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "12813166-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eiko.sillito@imail.org",
            "affiliation": "N",
            "endpointDescription": "health medical center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "36 S State St",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841111401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EIKO",
            "last_name": "SILLITO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clearfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.