Active NPI
David S Suffel, PT
- Physical Therapist
- Pikesville, MD
National Provider Identifier
1811015779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 17928
- Practice address
- 1838 Greene Tree Rd Ste 245
Pikesville, MD 21208-7110 - Phone
- (410) 753-3317
- Fax
- (410) 753-3325
- NPI assigned
- Mar 27, 2007
- 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 | 17928 | MD | Primary |
Addresses
Primary practice location
1838 Greene Tree Rd Ste 245
Pikesville, MD 21208-7110
Mailing address
1838 Greene Tree Rd Ste 245
Pikesville, MD 21208-7110
Phone (410) 753-3317
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 |
|---|---|---|---|
| 17928 | MD | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Fitness Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Maryland General Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1811015779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1838 GREENE TREE RD STE 245",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212087110",
"telephone_number": "410-753-3317",
"fax_number": "410-753-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1838 GREENE TREE RD STE 245",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212087110",
"telephone_number": "410-753-3317",
"fax_number": "410-753-3325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUFFEL",
"first_name": "DAVID",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "17928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.