SUZANNE BRATKOVICH (MSPT) – Physical Therapist, NPI 1104376623

SUZANNE BRATKOVICH (MSPT) is a healthcare provider. based in Sacramento, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MSPT. They hold a License No. 33261 (CA). The NPI Number for SUZANNE BRATKOVICH (MSPT) is 1104376623

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
SUZANNE BRATKOVICH (MSPT)
NPI
1104376623
Phone
(916) 453-2240
Address
2425 STOCKTON BLVD
Enumeration Date
7 October 2016
Last Update Date
7 October 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774073422
Graduation Year
1994 (32 years ago)
PAC ID
6608358486
Group Practice PAC ID
5698209799
Professional Enrollment ID
I20260302001451
Address ID
CA92260XXXXPAXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for SUZANNE BRATKOVICH (MSPT)

  • Shriners Hospitals for Children — Northern California, 2425, Stockton Boulevard, Sacramento, Sacramento County, California, 95817, United States

    SACRAMENTO, CA 958172215

    Phone: (916) 453-2240

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260302001451IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95817)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698209799View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeCA
Qualified Speech Language PathologistWI
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

How do payers reference SUZANNE BRATKOVICH (MSPT)?
For SUZANNE BRATKOVICH (MSPT), use NPI 1104376623 as the unique 10-digit identifier.
Would SUZANNE BRATKOVICH (MSPT) appear as active to a payer?
You can treat SUZANNE BRATKOVICH (MSPT) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to SUZANNE BRATKOVICH (MSPT)?
SUZANNE BRATKOVICH (MSPT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with SUZANNE BRATKOVICH (MSPT)?
Directory geography for SUZANNE BRATKOVICH (MSPT) centers on Sacramento, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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