Susan Y Hausheer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

R1245 Issued in MO

Practice address

701 S Broadway St
Oak Grove, MO 64075-8102

Phone

(816) 690-8516

Fax

(816) 690-6252

NPI assigned

Aug 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063421667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 NW HEDGEWOOD DR",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640297214",
            "telephone_number": "816-220-3700",
            "fax_number": "816-220-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S BROADWAY ST",
            "city": "OAK GROVE",
            "state": "MO",
            "postal_code": "640758102",
            "telephone_number": "816-690-8516",
            "fax_number": "816-690-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSHEER",
        "first_name": "SUSAN",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "R1245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC",
            "identifier": "20230014",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Oak Grove, MO
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• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.