Sustus, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

003788L Issued in PA

Legal business name

SUSTUS, LLC

Practice address

251 Easterly Pkwy, BLDG 2
State College, PA 16801-6301

Phone

(814) 272-0420

NPI assigned

Feb 10, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jonathan Micheal Masorti, D.C.

Title

Clinical Director

Phone

(814) 272-0420

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1821394701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 EASTERLY PKWY BLDG 2",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016301",
            "telephone_number": "814-272-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 EASTERLY PKWY, BLDG 2",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168016301",
            "telephone_number": "814-272-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSTUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "MASORTI",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "814-272-0420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "003788L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in State College, PA
• Providers in State College, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.