Organization Active NPI

Cornerstone Physiatry PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fort Myers, FL
National Provider Identifier
1659278463
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
CORNERSTONE PHYSIATRY PLLC
Practice address
10471 6 Mile Cypress Pkwy # 4017
Fort Myers, FL 33966-6973
Phone
(239) 226-0077
Fax
(239) 489-0077
NPI assigned
Oct 23, 2026
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Dr. Keith Susko, MDNPI 1275595159
Title
President
Phone
(239) 292-7213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

10471 6 Mile Cypress Pkwy # 4017
Fort Myers, FL 33966-6973

Mailing address

10471 6 Mile Cypress Pkwy # 4017
Fort Myers, FL 33966-6973
Phone (239) 226-0077

Other practice location 1

8100 Arbor Ct
Fort Myers, FL 33908-2865
Phone (239) 226-0077

National Provider Directory

National Provider Directory

Locations

10471 6 Mile Cypress Pkwy
#4017
Fort Myers, FL 33966

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1659278463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10471 6 MILE CYPRESS PKWY # 4017",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339666973",
            "telephone_number": "239-226-0077",
            "fax_number": "239-489-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10471 6 MILE CYPRESS PKWY # 4017",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339666973",
            "telephone_number": "239-226-0077",
            "fax_number": "239-489-0077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 Arbor Ct",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339082865",
            "country_code": "US",
            "telephone_number": "239-226-0077",
            "fax_number": "239-489-0077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORNERSTONE PHYSIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "SUSKO",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-292-7213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; 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.