Susan Caulfield Wise, MSPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

2305204478 Issued in VA

Practice address

7405 Calico CT
Springfield, VA 22153-1302

Phone

(703) 455-1660

NPI assigned

Oct 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Susan Caulfield Schatz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1124353792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 CALICO CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221531302",
            "telephone_number": "703-455-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 CALICO CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221531302",
            "telephone_number": "703-455-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "SUSAN",
        "middle_name": "CAULFIELD",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VA",
            "license": "2305204478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SCHATZ",
            "middle_name": "CAULFIELD",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sienna Vorono Winer, MD
• Emma Rae Winkler
• Mark Andrew Winkler, DDS
• Wisdom One LLC
• Rebecca A Wise, OTR/L
• Yosief Woldu
• Joshua Wood, DC
• Iris Woodard, RNCS
• Liana Christine Wooten, DP.T.
• Worldwide Speech Therapy Inc.

• Pediatric Physical Therapist in Springfield, VA
• Providers in Springfield, VA by specialty
• Pediatric Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.