Madison Susmilch

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

2528 W 16TH St
Greeley, CO 80634-4955

Phone

(970) 356-9800

NPI assigned

Mar 11, 2020

Last updated

Nov 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Therapy Zone Incorporated

  • Occupational Therapist
  • Brinkley, AR
  • NPI 1235159831
  Medicare reassignment NPD

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1770118523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13525",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721130525",
            "telephone_number": "901-833-4404",
            "fax_number": "866-251-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 W 16TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344955",
            "telephone_number": "970-356-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSMILCH",
        "first_name": "MADISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgical Associates of Greeley
• Surgical Clinic of Greeley, PC (Front Range Surgical Specialists)
• Cole Anthony Surplus
• Jeremy Thomas Sus
• Susan P. Bromley PSYD LLC
• Eric H Sutherland, DMD
• Emily Sutton
• Kathleen J Sutton, MA, ATR, LPC
• Sherrie Sutton
• Alena Amariah Lee Swanson

• Physical Therapy Assistant in Greeley, CO
• Providers in Greeley, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.