MEDICARE: JEFFERY JOSEPH SUKENICK P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT013626L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881692614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFERY JOSEPH SUKENICK P.T.

Provider Business Mailing Address
First Line	:	PO BOX 627
Second Line	:
City	:	POCONO SUMMIT
State	:	PA
Zip	:	18346-0627
Country	:	US
Telephone Number	:	570-839-8818
Fax Number	:	570-839-9140

Provider Business Practice Location Address
First Line	:	ROUTE 940
Second Line	:	FAM BROS PLAZA
City	:	POCONO SUMMIT
State	:	PA
Zip	:	18346-0627
Country	:	US
Telephone Number	:	570-839-8818
Fax Number	:	570-839-9140

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1558387639 — SUMMIT PHYSICAL THERAPY INC
Practice Location Address:

ROUTE 940 , POCONO SUMMIT PLAZA
POCONO SUMMIT, PA
18346-0627

Practice Phone: 570-839-8818
Practice Fax: 570-839-9140

1427038405 — DR. JENNIFER ANN JANCO MD
Practice Location Address:

174 HARVEST LANE
POCONO SUMMIT, PA
18346-7761

Practice Phone: 484-658-5437
Practice Fax:

1053350546 — RICHARD JOSEPH SANTASANIA O.D.
Practice Location Address:

HC 89
POCONO SUMMIT, PA
18346-9801

Practice Phone: 570-839-5746
Practice Fax: 579-839-5748

1386728525 — SANTASANIA EYECARE
Practice Location Address:

HC 89
POCONO SUMMIT, PA
18346-9801

Practice Phone: 570-839-5746
Practice Fax: 579-839-5748

1043373731 — GIACALONE HEALTHCARE INC
Practice Location Address:

716 ROUTE 940
POCONO SUMMIT, PA
18346-0729

Practice Phone: 570-839-3300
Practice Fax: 570-839-3033

1477766483 — AMANDA J BROWN LPN
Practice Location Address:

HC 89 BOX 254
POCONO SUMMIT, PA
18346-9712

Practice Phone: 484-951-0432
Practice Fax:

Directions to “ JEFFERY JOSEPH SUKENICK P.T.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.