MRS. SUE A DUPONT (PT ATC) – Physical Therapist, NPI 1215910666

MRS. SUE A DUPONT (PT ATC) is a healthcare provider. based in Cape coral, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT ATC. They hold a License No. PT 11530 (FL). The NPI Number for MRS. SUE A DUPONT (PT ATC) is 1215910666

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SUE A DUPONT (PT ATC)
NPI
1215910666
Phone
(239) 540-3837
Address
4223 SE 3RD AVE
Enumeration Date
21 November 2005
Last Update Date
16 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9418419591
Graduation Year
1994 (32 years ago)
PAC ID
0244600153
Professional Enrollment ID
I20230110000491
Address ID
FL339195817FO8660XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for MRS. SUE A DUPONT (PT ATC)

  • 4223, Southeast 3rd Avenue, Cape Coral, Lee County, Florida, 33904, United States

    CAPE CORAL, FL 339048400

    Phone: (239) 540-3837

    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: 2023-01-10

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
I20230110000491IPhysical Therapist In Private PracticeFLTBD

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 33904)

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Reviews

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Frequently asked questions

What identifier follows MRS. SUE A DUPONT (PT ATC) across health systems?
The NPI 1215910666 uniquely identifies MRS. SUE A DUPONT (PT ATC) in U.S. healthcare data.
Is MRS. SUE A DUPONT (PT ATC) currently accepting referrals based on NPI status?
Registry metadata lists MRS. SUE A DUPONT (PT ATC) as active.
Which specialty label fits MRS. SUE A DUPONT (PT ATC)?
NPPES ties MRS. SUE A DUPONT (PT ATC) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. SUE A DUPONT (PT ATC)?
MRS. SUE A DUPONT (PT ATC) shows a connection to Cape Coral, Florida in registry-derived data.
Why is information missing for MRS. SUE A DUPONT (PT ATC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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