Susan Marie Andersen I
Individual provider Active NPI Physical Therapist · Encinitas, CA
NPI 1023545860 · NPPES record last updated May 11, 2017
Key facts
- NPI
- 1023545860
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 234 Meadow Vista Way
Encinitas, CA 92024-4320 - Phone
- (619) 818-8316
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
234 Meadow Vista Way
Encinitas, CA 92024-4320
Mailing address
234 Meadow Vista Way
Encinitas, CA 92024-4320
Other providers in Encinitas, CA
- Amy Bell LMFT Inc.
- Aaron Ray Anchondo
- Andalon Physical Therapy, Inc
- Dawn Dimitris Andalon
- Oscar G Andalon
- Aubrey Anderson
- Christen Marie Anderson
- Lindsey Elizabeth Anderson
- Luke Patrick Anderson
- Mary B Anderson
All providers in Encinitas, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.