Active NPI
Susan Marie Dwyer, PT
- Physical Therapist
- Plains, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018472
- Practice address
- 1086 Route 315
Plains, PA 18702 - Phone
- (570) 823-7761
- Fax
- (570) 822-8033
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT018472 | PA | Primary |
| Physical Therapist | 225100000X | 0185481 | NY |
Addresses
Primary practice location
1086 Route 315
Plains, PA 18702
Mailing address
1086 Route 315
Pro Rehabilitation Services
Plains, PA 18702
Phone (570) 823-7761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231213001243 | PA | Practitioner - Physical Therapist in Private Practice | 8820191026 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Steffie Enterprises, Inc
Practice addresses (Care Compare)
1157 Lackawanna TRL
Clarks Summit, PA 18411-9260
Phone (570) 586-7764
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0185481 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dylan RC Enterprises Inc | Physical Therapist | Current | Accepting new patients |
| Steffie Enterprises, Inc | Physical Therapist | Current | Accepting new patients |
| Alycam Inc | Physical Therapist | Current | Accepting new patients |
| Derek Enterprises LLC | Physical Therapist | Current | Accepting new patients |
| Prohealth Care Associates LLP | Past | Accepting new patients | |
| Mount Kisco Medical Group | Past | Accepting new patients | |
| Sports Physical Therapy of New York, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
1157 Lackawanna Trl
Clarks Summit, PA 18411
Phone (570) 283-3222
87 Oxford St
Hanover Township, PA 18706
Phone (570) 387-2202
693 Main St
New Milford, PA 18834
Phone (570) 465-2027
66 E Tioga St
Tunkhannock, PA 18657
Phone (570) 836-1078
106 Rotary Dr
West Hazleton, PA 18202
Phone (570) 455-2286
1086 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (570) 823-7761
Organizations & group practices 7
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.
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- NPI 1275596280
-
- Physical Therapist
- Manlius, NY
- NPI 1912950072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104830769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1086 ROUTE 315",
"address_2": "PRO REHABILITATION SERVICES",
"city": "PLAINS",
"state": "PA",
"postal_code": "18702",
"telephone_number": "570-823-7761",
"fax_number": "570-822-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 ROUTE 315",
"city": "PLAINS",
"state": "PA",
"postal_code": "18702",
"telephone_number": "570-823-7761",
"fax_number": "570-822-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWYER",
"first_name": "SUSAN",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018472",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0185481",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plains, PA
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.