Active NPI
Susan Mae Trider, P.T.
- Physical Therapist
- West Palm Beach, FL
National Provider Identifier
1134425481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 0003303
- Practice address
- 1900 S Olive Ave
West Palm Beach, FL 33401-7726 - Phone
- (561) 835-6821
- Fax
- (561) 835-6742
- NPI assigned
- Feb 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 0003303 | FL | Primary |
Addresses
Primary practice location
1900 S Olive Ave
West Palm Beach, FL 33401-7726
Mailing address
1900 S Olive Ave
West Palm Beach, FL 33401-7726
Phone (561) 835-6821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 0003303 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1134425481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 S OLIVE AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334017726",
"telephone_number": "561-835-6821",
"fax_number": "561-835-6742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 S OLIVE AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334017726",
"telephone_number": "561-835-6821",
"fax_number": "561-835-6742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIDER",
"first_name": "SUSAN",
"middle_name": "MAE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-03",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 0003303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.