Suzanne Isaksen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007625-1 Issued in NY

Practice address

7 Bluetop Rd
East Setauket, NY 11733-1906

Phone

(631) 521-6755

NPI assigned

Jul 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matthew Colucci P.T.,P.C.Group PAC ID 9133019771, 5 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Matthew Colucci P.T.,P.C.

  • Physical Therapist
  • East Islip, NY
  • NPI 1053472209
  Medicare reassignment Care Compare group NPD
• Island Sports Physical Therapy of Smithtown, P.C.

  • Physical Therapy Clinic/Center
  • Nesconset, NY
  • NPI 1639109770
  NPD (past)

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1699183475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BLUETOP RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331906",
            "telephone_number": "631-521-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BLUETOP RD",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331906",
            "telephone_number": "631-521-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAKSEN",
        "first_name": "SUZANNE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "007625-1",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "007625-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Altan Kadri Ilkay, MD
• Imagine Chiropractic Healthcare, PLLC
• Diana Camille Indrigo, M.S.
• Ryan Scott Innes, PA-C
• Maria Iovino
• Alaa A Ishak, PHARM.D.
• Island Concierge Medical Services PLLC
• Island Nephrology PC
• Island Physical Therapy of East Setauket
• Island Power Physical Therapy PLLC

• Physical Therapist in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.