Individual provider Active NPI

Sara A Suddes, DPT

  • Physical Therapist
  • Aiea, HI
National Provider Identifier
1710497292
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4462 Issued in HI
Practice address
99-128 Aiea Heights Dr Ste 207
Aiea, HI 96701-3968
Phone
(808) 487-0487
Fax
(808) 486-8674
NPI assigned
Oct 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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 4462 HI Primary

Addresses

Primary practice location

99-128 Aiea Heights Dr Ste 207
Aiea, HI 96701-3968

Mailing address

95-199 Hoahele PL
Mililani, HI 96789-5544
Phone (808) 674-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171215001382 HI Practitioner - Physical Therapist in Private Practice 5395003560 Reassigns benefits to 1 organization
I20230328002452 FL Practitioner - Physical Therapist in Private Practice 5395003560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4462HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stayfit Physical Therapy LLC CurrentSince Nov 1, 2017 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Mar 23, 2023 Accepting new patients

Locations

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

99-128 Aiea Heights Dr
Ste 207
Aiea, HI 96701
Phone (808) 487-0487

1001 Kamokila Blvd
Ste 114
Kapolei, HI 96707
Phone (808) 674-0500

Organizations & group practices 2

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": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1710497292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-199 HOAHELE PL",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967895544",
            "telephone_number": "808-674-0500",
            "fax_number": "808-674-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR STE 207",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013968",
            "telephone_number": "808-487-0487",
            "fax_number": "808-486-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUDDES",
        "first_name": "SARA",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "4462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.