Suzanna Eddy, DPT – Physical Therapist

Key facts

NPI: 1831649243
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 1355024 (WI)
Practice address: 3195 Hillside Dr
Delafield, WI 53018-2189
Phone: (262) 646-9612
NPI assigned: Oct 10, 2016
Sex: Female
Sole proprietor: No

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.

Makovicka Harms Group PC Physical Therapist · Omaha, NE · NPI 1386879559

NPD (past) PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
1355024	WI	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Makovicka Harms Group PC	Physical Therapist	Past since Oct 10, 2016	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	1355024	WI	Yes

Addresses

Primary practice location

3195 Hillside Dr
Delafield, WI 53018-2189

Mailing address

13110 W Wilbur Dr
New Berlin, WI 53151-5465
Phone (920) 946-9311

Other identifiers

Identifier	Type	State	Issuer
47065477701	Medicaid	NE

Other providers in Delafield, WI

All providers in Delafield, WI · Physical Therapist in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.