Suzanne Michele Brain, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

NJ40QA01253400 Issued in NJ

Practice address

301 Sicomac Ave
Wyckoff, NJ 07481-2159

Phone

(201) 848-5200

NPI assigned

Feb 20, 2008

Last updated

Feb 20, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Madison Spine and Physicaltherapy, Inc.

  • Physical Therapist
  • New Milford, NJ
  • NPI 1063591659
  NPD (past)
• Madison Spine Limited Partnership

  • Physical Therapist
  • New Milford, NJ
  • NPI 1689940900
  NPD (past)

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1689843914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 FREDERICK CT",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074811043",
            "telephone_number": "201-264-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SICOMAC AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812159",
            "telephone_number": "201-848-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAIN",
        "first_name": "SUZANNE",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "NJ40QA01253400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Bloomer, RN,APN-C
• Sonia Boksh
• Alexis Bondy, BCBA
• Elaine R Bonifacic, MSW, LCSW
• Patrick M Boyan
• Michael Joseph Branagh
• Susan Braun, LPC,CSW,LCADC
• Diane Laura Brice, PHARM.D.
• Ally Brown
• Nicole Buchmann Threlfall, M.S. CCC-SLP

• Physical Therapist in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.