Active NPI
Susan M Horwath, P.T.
- Physical Therapist
- Flagler Beach, FL
National Provider Identifier
1093869893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT0005975
- Practice address
- 1706 S Central Ave
Flagler Beach, FL 32136 - Phone
- (321) 363-7620
- NPI assigned
- Jan 22, 2007
- Last updated
- Aug 30, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | ||
| Physical Therapist | 225100000X | PT0005975 | FL | Primary |
Addresses
Primary practice location
1706 S Central Ave
Flagler Beach, FL 32136
Mailing address
PO Box 846
Flagler Beach, FL 32136-0846
Phone (321) 363-7620
Other practice location 1
142 W Lakeview Ave
Suite # 2010
Lake Mary, FL 32746-2903
Phone (407) 323-6955
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y4972 | Other | FL | BC BS PROVIDER # |
| 880655100 | Medicaid | FL |
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 |
|---|---|---|---|
| PT0005975 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1093869893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846",
"city": "FLAGLER BEACH",
"state": "FL",
"postal_code": "321360846",
"telephone_number": "321-363-7620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 S CENTRAL AVE",
"city": "FLAGLER BEACH",
"state": "FL",
"postal_code": "32136",
"telephone_number": "321-363-7620"
}
],
"practiceLocations": [
{
"address_1": "142 W Lakeview Ave",
"address_2": "Suite # 2010",
"address_purpose": "LOCATION",
"city": "Lake Mary",
"state": "FL",
"postal_code": "327462903",
"country_code": "US",
"telephone_number": "407-323-6955",
"fax_number": "407-323-4564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HORWATH",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2021-08-30",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT0005975",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS PROVIDER #",
"identifier": "Y4972",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "880655100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flagler Beach, FL
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- Deana Ann Hartshorn, MA, LPC
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- Katherine Jankowski
- Ronda Jo Jarvis, LCSW
- Jennifer Tipton, LLC (Connected Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.