Individual provider Active NPI

Thomas Jay Suh, PT, DPT, ATC, LAT

  • Physical Therapist
  • Cedar Park, TX
National Provider Identifier
1750870069
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1303875 Issued in TX
Practice address
715 Discovery Blvd Ste 411
Cedar Park, TX 78613-2417
Phone
(512) 260-9600
Fax
(512) 260-9601
NPI assigned
May 2, 2018
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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 1303875 TX Primary

Addresses

Primary practice location

715 Discovery Blvd Ste 411
Cedar Park, TX 78613-2417

Mailing address

1516 Emperor CT
Round Rock, TX 78664-8607
Phone (512) 590-9581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1303875TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Whitestone Physical Therapy LP Physical Therapist PastSince Sep 19, 2018 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1750870069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 EMPEROR CT",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786648607",
            "telephone_number": "512-590-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 DISCOVERY BLVD STE 411",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132417",
            "telephone_number": "512-260-9600",
            "fax_number": "512-260-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUH",
        "first_name": "THOMAS",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1303875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.