Susan B Rabourn, P. T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 34988 Issued in CA

Practice address

245 Crossroads Blvd
Carmel, CA 93923-8650

Phone

(831) 620-0744

Fax

(831) 620-0711

NPI assigned

Oct 16, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carmel Orthopedic & Sports Therapy

  • Physical Therapist
  • Carmel, CA
  • NPI 1003819988
  NPD (past)
• Carmel Orthopedic & Sports Therapy

  • Physical Therapist
  • Soledad, CA
  • NPI 1770693525
  NPD (past)
• Doctors Hoski and Moody PA

  • Orthopaedic Surgery Physician
  • Asheville, NC
  • NPI 1245316074

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1083866495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222300",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939222300",
            "telephone_number": "831-659-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CROSSROADS BLVD",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238650",
            "telephone_number": "831-620-0744",
            "fax_number": "831-620-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABOURN",
        "first_name": "SUSAN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "P. T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 34988",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT 34988",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENSE",
            "identifier": "PT 34988",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENSE",
            "identifier": "1062",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernadette Pirrello, LCSW
• Michael Alan Plainse, M.D.
• Psyched Psychological Services, Inc.
• Quantum Medical Radiology of California, PC
• Robert James Quinones
• Radiological Associates Medical Group, Inc
• Radiological Associates Medical Group, Inc
• Julie Sage Ramirez, PPS
• Rasha Morad, MD PA
• Realear, Inc.

• Physical Therapist in Carmel, CA
• Providers in Carmel, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.