Individual provider Active NPI

Susan Francoeur

  • Geriatric Physical Therapist
  • Amesbury, MA
National Provider Identifier
1134735434
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
3639 Issued in MA
Practice address
110 Haverhill Rd Ste 101
Amesbury, MA 01913-2139
Phone
(855) 390-7774
Fax
(855) 734-4666
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 3639 MA Primary

Addresses

Primary practice location

110 Haverhill Rd Ste 101
Amesbury, MA 01913-2139

Mailing address

1 Stiles Rd Ste 203
Salem, NH 03079-4804
Phone (855) 390-7774

Other identifiers 1

IdentifierTypeStateIssuer
3639OtherMAPHYSICAL THERAPY LICENSE

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1134735434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STILES RD STE 203",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030794804",
            "telephone_number": "855-390-7774",
            "fax_number": "855-734-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAVERHILL RD STE 101",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132139",
            "telephone_number": "855-390-7774",
            "fax_number": "855-734-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCOEUR",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MA",
            "license": "3639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "3639",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amesbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.