Sue Ann Tupper, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

005493-1 Issued in NY

Practice address

7571 State Route 54
Rehab Services Dept., Ira Davenport Memorial Hospital
Bath, NY 14810-9504

Phone

(607) 776-8880

NPI assigned

Feb 2, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1013155860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 FLORADALE RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7571 STATE ROUTE 54",
            "address_2": "REHAB SERVICES DEPT., IRA DAVENPORT MEMORIAL HOSPITAL",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148109504",
            "telephone_number": "607-776-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUPPER",
        "first_name": "SUE",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "005493-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirsten Travis
• Nanette Lamm Treadwell, R.P.A.C.
• Jill Troup
• Bruce Tucker, LCSW
• Diane Tucker, RPH
• Deborah Turner
• Twin Tiers Eye Care Associates, PC
• Martha E Tymeson, MD
• VA Medical Center Bath Ny
• Ruth Van Wie

• Physical Therapy Assistant in Bath, NY
• Providers in Bath, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.