Suzanne Havrilla, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501004918 Issued in MI

Practice address

7633 East Jefferson Ave.
Suite 170
Detroit, MI 48024

Phone

(313) 499-4309

Fax

(313) 499-4878

NPI assigned

Dec 27, 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

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063577146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22823 EUCLID ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480821342",
            "telephone_number": "586-296-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 EAST JEFFERSON AVE.",
            "address_2": "SUITE 170",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48024",
            "telephone_number": "313-499-4309",
            "fax_number": "313-499-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVRILLA",
        "first_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501004918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Havens, DPM
• Jake Haver, MD
• Brittany Elise Haverty
• Patricia Jean Haverty, NP
• Havilah Human Services
• Fadi Nather Said Hawa, M.D.
• Hawanya Jackson
• Nichole Hawk, LLPC
• Rhashandra D Hawkins- Haigler, CHW
• Anonka Hawkins, LPN

• Physical Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Physical Therapist in Michigan

• 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.