Active NPI
Robert Gary Suggett, P.T.
- Orthopedic Physical Therapist
- Auburn, CA
National Provider Identifier
1780779157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT 8929
- Practice address
- 1121 Maidu Dr
Auburn, CA 95603-5808 - Phone
- (916) 747-7562
- Fax
- (530) 888-8832
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT 8929 | CA | Primary |
Addresses
Primary practice location
1121 Maidu Dr
Auburn, CA 95603-5808
Mailing address
1121 Maidu Dr
Auburn, CA 95603-5808
Phone (916) 747-7562
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 8929 | CA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1780779157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 MAIDU DR",
"city": "AUBURN",
"state": "CA",
"postal_code": "956035808",
"telephone_number": "916-747-7562",
"fax_number": "530-888-8832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1121 MAIDU DR",
"city": "AUBURN",
"state": "CA",
"postal_code": "956035808",
"telephone_number": "916-747-7562",
"fax_number": "530-888-8832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGGETT",
"first_name": "ROBERT",
"middle_name": "GARY",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT 8929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.