Susan E. Wakelin, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1438 Issued in FL

Practice address

1550 Cypress Ave
Orange City, FL 32763-8731

Phone

(386) 775-6838

NPI assigned

Oct 15, 2009

Last updated

Oct 15, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1053646505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 CYPRESS AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 CYPRESS AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638731",
            "telephone_number": "386-775-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKELIN",
        "first_name": "SUSAN",
        "middle_name": "E.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT1438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Volusia Neurology PA
• Volusia Optical, L.L.C.
• Charity Anna Vordenberg
• Jenny Vuong, PHARMD
• Marissa Wagner, APRN
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0563)
• Wal-Mart Stores East, LP (Vision Center 30-0563)
• Theresa Ann Waldorf-Beman, LMT
• Walgreen Co (Walgreens #04262)
• Ishmeet Walia, MD

• Physical Therapist in Orange City, FL
• Providers in Orange City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.