Active NPI
Rosemary Ellen Suggs, DPT
- Physical Therapist
- Livingston, TX
National Provider Identifier
1770949752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1266448
- Practice address
- 208 Rainbow Dr # 10856
Livingston, TX 77399-2008 - Phone
- (501) 908-2821
- NPI assigned
- Jan 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4074 | AR | |
| Physical Therapist | 225100000X | 1266448 | TX | Primary |
Addresses
Primary practice location
208 Rainbow Dr # 10856
Livingston, TX 77399-2008
Mailing address
208 Rainbow Dr # 10856
Livingston, TX 77399-2008
Phone (501) 908-2821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11976 | AZ | MD | Pharmacist |
| 4074 | AR | MD | Physical Therapist |
| 1266448 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Valley Therapy & Sports Medicine Inc | Physical Therapist | Current | Accepting new patients |
Locations
2100 W Main St
Russellville, AR 72801
Phone (479) 968-2525
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 and National Provider Directory roles.
-
- Physical Therapist
- Russellville, AR
- NPI 1619925732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1770949752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 RAINBOW DR # 10856",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773992008",
"telephone_number": "501-908-2821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 RAINBOW DR # 10856",
"city": "LIVINGSTON",
"state": "TX",
"postal_code": "773992008",
"telephone_number": "501-908-2821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGGS",
"first_name": "ROSEMARY",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-06",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "4074",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1266448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livingston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.