Susan M Rounds, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

ID PT 723 Issued in ID

Practice address

317 W 6TH
#206 Sage & Cedar PT
Moscow, ID 83843-2368

Phone

(208) 882-4041

NPI assigned

Jul 10, 2007

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 names 1

• Susan M Campbell Former name

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1104024272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W 6TH",
            "address_2": "#206 SAGE & CEDAR PT",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432368",
            "telephone_number": "208-882-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W 6TH",
            "address_2": "#206 SAGE & CEDAR PT",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432368",
            "telephone_number": "208-882-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUNDS",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "ID PT 723",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00003302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CAMPBELL",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Moscow, ID
• Providers in Moscow, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.