Susan M Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3476-24 Issued in WI

Practice address

285 Forest Grove Dr Ste 208
Pewaukee, WI 53072-3738

Phone

(262) 799-4090

Fax

(262) 799-4093

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Susan M Otters Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrative Manual Physical Therapy, LLC

  • Physical Therapist
  • Pewaukee, WI
  • NPI 1891658837
  NPD Authorized official
• Kerk Physical Therapy Specialists SC

  • Physical Therapy Clinic/Center
  • Milwaukee, WI
  • NPI 1881643005

  Physical Therapist

  NPD (past)
• LHCG Xlvii, LLC

  dba Wisconsin Home Health

  • Home Health Agency
  • Brookfield, WI
  • NPI 1336584275
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1134166267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 FOREST GROVE DR STE 208",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723738",
            "telephone_number": "262-799-4090",
            "fax_number": "262-799-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 FOREST GROVE DR STE 208",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723738",
            "telephone_number": "262-799-4090",
            "fax_number": "262-799-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3476-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "OTTERS",
            "middle_name": "M",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clayton Lennon Sims
• Angela Christine Skebba, APNP
• Julie Skrypchak, PA-C
• Connor Joseph Smith, PHARM.D., RPH
• Megan Nicole Smith, MA, LPC
• Elizabeth Smurawa, RN
• Mark Joseph Sniadecki, LAT
• Karen A. Snider
• Susan Mary Sobczynski
• Soleo Health Inc.

• Physical Therapist in Pewaukee, WI
• Providers in Pewaukee, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.