Susanne Goade Vertin, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT10830 Issued in CA

Practice address

777 Knowles Dr
Suite 10
Los Gatos, CA 95032-1417

Phone

(408) 379-4100

Fax

(408) 379-0800

NPI assigned

Feb 3, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063550655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 KNOWLES DR",
            "address_2": "SUITE 10",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321417",
            "telephone_number": "408-379-4100",
            "fax_number": "408-379-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 KNOWLES DR",
            "address_2": "SUITE 10",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321417",
            "telephone_number": "408-379-4100",
            "fax_number": "408-379-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERTIN",
        "first_name": "SUSANNE",
        "middle_name": "GOADE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT10830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Venegas
• Balaji Venkat, D.O.
• Victoria Venter, MFT
• Jayme Danielle Vermilion, RD, IBCLC
• Raul Andres Vernal, M.D.
• Roger Vertrees, PHD
• Cheryl Vester
• Via Veritas Health LLC
• Vibrantcare Outpatient Rehabilitation of California Inc (VibrantCare Outpatient Rehabilitation)
• Veronica Vieyra Lozano

• Orthopedic Physical Therapist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Orthopedic Physical Therapist in California

• 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.