Individual provider Active NPI

Michael E Suomala, M.S.P.T.

  • Physical Therapist
  • Shelton, CT
National Provider Identifier
1689674376
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006158 Issued in CT
Practice address
2 Trap Falls Rd Ste 404
Shelton, CT 06484
Phone
(203) 734-7900
Fax
(203) 513-3269
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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 006158 CT Primary

Addresses

Primary practice location

2 Trap Falls Rd Ste 404
Shelton, CT 06484

Mailing address

2 Trap Falls Rd Ste 404
Shelton, CT 06484-7622
Phone (203) 734-7900

Other practice location 1

33 Hospital Avenue
Danbury, CT 06810-6007
Phone (203) 792-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000745 CT Practitioner - Physical Therapist in Private Practice 5597756577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Orthopaedic Specialists, LLC.Group PAC ID 1951299122, 12 clinicians

Practice addresses (Care Compare)

2 Trap Falls Rd
Suite 404
Shelton, CT 06484-7622
Phone (203) 734-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006158CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Orthopaedic Specialists, LLC CurrentSince Mar 17, 2010 Accepting new patients
Valley Orthopaedic Specialists LLC CurrentSince Mar 17, 2010 Accepting new patients
New England Physical Therapy & Wellness LLC Physical Therapist Past Accepting new patients
Quinnipiac Physical Therapy & Sports Medicine PC Physical Therapist PastSince Oct 1, 2012 Accepting new patients
Montowese Chiropractic Center LLC Past Accepting new patients
Valley Orthopaedic Specialists, LLC Past Accepting new patients

Locations

111 Wakelee Ave
Ansonia, CT 06401
Phone (203) 308-2781

220 Main St
Oxford, CT 06478

220 Main St
Ste 1F
Oxford, CT 06478
Phone (203) 734-7900

144 Oxford Rd
Oxford, CT 06478
Phone (203) 734-7900

2 Trap Falls Rd
Ste 404
Shelton, CT 06484
Phone (203) 734-7900

2 Trap Falls Rd
Shelton, CT 06484
Phone (203) 816-6424

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70818

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1689674376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD STE 404",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064847622",
            "telephone_number": "203-734-7900",
            "fax_number": "203-513-3269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS RD STE 404",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "06484",
            "telephone_number": "203-734-7900",
            "fax_number": "203-513-3269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Hospital Avenue",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068106007",
            "country_code": "US",
            "telephone_number": "203-792-5558",
            "fax_number": "203-731-3213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUOMALA",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.

Verify at the official NPI Registry.