Active NPI
Tell Suckut, DPT
- Physical Therapist
- Cheyenne, WY
National Provider Identifier
1730536236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4606 N College Dr
Cheyenne, WY 82009-5456 - Phone
- (307) 414-8394
- NPI assigned
- May 16, 2016
- Last updated
- Dec 20, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
4606 N College Dr
Cheyenne, WY 82009-5456
Mailing address
19580 Scout LN
Saint Onge, SD 57779-7913
Phone (605) 491-2832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4010 N College Dr
Cheyenne, WY 82001-1960
Phone (307) 414-8394
4606 N College Dr
Cheyenne, WY 82009-5456
Phone (307) 414-8394
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10758 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Primary Care PLLC | Current | Accepting new patients | |
| Big Stone Therapies Montague LLC | Physical Therapist | Past | Accepting new patients |
| Excel Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Adult Medicine Physician
- Grand Forks, ND
- NPI 1265277115
-
- Physical Therapy Clinic/Center
- Montague, MI
- NPI 1073021093
Physical Therapist
-
- Physical Therapist
- Wasilla, AK
- NPI 1730131467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1730536236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19580 SCOUT LN",
"city": "SAINT ONGE",
"state": "SD",
"postal_code": "577797913",
"telephone_number": "605-491-2832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4606 N COLLEGE DR",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820095456",
"telephone_number": "307-414-8394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUCKUT",
"first_name": "TELL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-16",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.