Individual provider Active NPI

Susan Audrey Parker, DPT

  • Physical Therapist
  • Cranston, RI
National Provider Identifier
1124095294
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00674 Issued in RI
Practice address
51 Sockanosset Cross Rd
Cranston, RI 02920-5536
Phone
(401) 944-7574
Fax
(401) 944-7602
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00674 RI Primary

Addresses

Primary practice location

51 Sockanosset Cross Rd
Cranston, RI 02920-5536

Mailing address

51 Sockanosset Cross Rd
Cranston, RI 02920-5536
Phone (401) 944-7574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080228000614 RI Practitioner - Physical Therapist in Private Practice 5496775868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pappas Physical Therapy LLCGroup PAC ID 2567708233, 80 clinicians

Practice addresses (Care Compare)

1000 Division Rd
Suite 100
East Greenwich, RI 02818-2078
Phone (401) 398-2326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT00674RIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pappas Physical Therapy LLC Physical Therapist CurrentSince Apr 1, 2020 Accepting new patients
Pappas Physical Therapy LLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

1100 Reservoir Ave
Cranston, RI 02910
Phone (401) 785-1016

75 Sockanosset Cross Rd
Ste 301
Cranston, RI 02920
Phone (401) 415-8868

5805 Post Rd
Ste 1
East Greenwich, RI 02818
Phone (401) 785-1016

1539 Atwood Ave
Ste 202
Johnston, RI 02919
Phone (401) 351-0515

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1124095294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SOCKANOSSET CROSS RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205536",
            "telephone_number": "401-944-7574",
            "fax_number": "401-944-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SOCKANOSSET CROSS RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205536",
            "telephone_number": "401-944-7574",
            "fax_number": "401-944-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "SUSAN",
        "middle_name": "AUDREY",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT00674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.

Verify at the official NPI Registry.