Healthcare Provider Details

I. General information

NPI: 1568073807
Provider Name (Legal Business Name): THOMAS SUTTON PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2020
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11409 STATE RD
NORTH ROYALTON OH
44133-3262
US

IV. Provider business mailing address

6787 PARMA PARK BLVD
PARMA HEIGHTS OH
44130-3706
US

V. Phone/Fax

Practice location:
  • Phone: 440-877-9120
  • Fax:
Mailing address:
  • Phone: 440-823-2978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT018634
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: