KATRINA SUDDUTH (NPI# 1093329559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093329559 |
| Entity Type | Individual |
| Full Name | KATRINA SUDDUTH |
| Other Name | KATRINA DEWEESE |
| Credential | DPT, NCS |
| Practice Address |
12740 W Atlantic Ave Lakewood CO 80228-4308 |
| Practice Telephone | 3605212562 |
| Mailing Telephone | 3605212562 |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
PTL.0013703 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
12740 W ATLANTIC AVE |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033537980 | Joyce Geib | Physical Therapist | 14519 Detroit Ave, Lakewood, OH 44107-4316 | 2014-03-28 |
| 1336566108 | Maria Mepham | Physical Therapist | 14519 Detroit Ave, First Floor - Rehab Services, Lakewood, OH 44107-4316 | 2014-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457757023 | Karen Zacharewicz | Physical Therapist | 1750 N Humboldt St Ste 101, Denver, CO 80218-1130 | 2014-11-10 |
| 1720378425 | Tonya Fuller | Physical Therapist | 730 W Hampden Ave Ste 302, Englewood, CO 80110-2132 | 2011-04-14 |
| 1053446724 | Emily R. Moncheski | Physical Therapist | 2303 Constellation Dr, Colorado Springs, CO 80906 | 2007-02-22 |
| 1528687936 | Molly Elizabeth Jones | Physical Therapist | 175 S Union Blvd Ste 250, Colorado Springs, CO 80910-3125 | 2020-04-15 |
| 1639717424 | Colorado Physical Therapy Specialists Pllc | Physical Therapist | 115 E Harmony Rd Ste 160, Fort Collins, CO 80525-3280 | 2019-12-12 |
| 1164074852 | Wyatt A Machupa | Physical Therapist | 202 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-3769 | 2019-07-12 |
| 1992269237 | Katherine Smulligan | Physical Therapist | 1700 E 17th Ave Ste 102, Denver, CO 80218-1668 | 2019-01-30 |
| 1194220871 | Leah Kroll-rosen | Physical Therapist | 900 Potomac St, Aurora, CO 80011-6716 | 2018-03-26 |
| 1417469701 | Tfl Provider Network LLC | Physical Therapist | 3996 Red Cedar Dr Unit A6, Highlands Ranch, CO 80126-8066 | 2017-10-26 |
| 1316312184 | Alice Caroline Monaco | Physical Therapist | 2233 Academy Pl, Suite 50, Colorado Springs, CO 80909-1696 | 2015-12-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.