Active NPI
Lauren Susco
- Physical Therapist
- Pittsburgh, PA
National Provider Identifier
1083015739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 41411
- Practice address
- 66 Longuevue Dr
Pittsburgh, PA 15228-1539 - Phone
- (412) 334-4475
- NPI assigned
- Sep 12, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 41411 | CA | Primary |
| Physical Therapist | 225100000X | PT011327 | GA | |
| Physical Therapist | 225100000X | PT 3673 | HI | |
| Physical Therapist | 225100000X | 070.020324 | IL | |
| Physical Therapist | 225100000X | P11350 | NC | |
| Physical Therapist | 225100000X | 2305208245 | VA |
Addresses
Primary practice location
66 Longuevue Dr
Pittsburgh, PA 15228-1539
Mailing address
66 Longuevue Dr
Pittsburgh, PA 15228-1539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41411 | CA | MD | Licensed Psychiatric Technician |
| PT011327 | GA | MD | Physical Therapist |
| PT 3673 | HI | MD | Physical Therapist |
| 070.020324 | IL | MD | Physical Therapist |
| P11350 | NC | MD | Physical Therapist |
| 2305208245 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410480000000",
"number": "1083015739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 LONGUEVUE DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152281539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 LONGUEVUE DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152281539",
"telephone_number": "412-334-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUSCO",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-12",
"last_updated": "2014-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "41411",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT011327",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT 3673",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.020324",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P11350",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305208245",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.