Active NPI
Susan Rose Donnal, PTA. 03450
- Physical Therapy Assistant
- Saint Marys, OH
National Provider Identifier
1144452731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 03450
- Practice address
- 1209 Indiana Ave
Saint Marys, OH 45885-1310 - Phone
- (419) 394-3258
- Fax
- (419) 394-4769
- NPI assigned
- Aug 14, 2009
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 03450 | OH | Primary |
Addresses
Primary practice location
1209 Indiana Ave
Saint Marys, OH 45885-1310
Mailing address
1815 Leffler Dr
Lima, OH 45806-1718
Phone (419) 223-4223
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 |
|---|---|---|---|
| 03450 | OH | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250208000000",
"number": "1144452731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 LEFFLER DR",
"city": "LIMA",
"state": "OH",
"postal_code": "458061718",
"telephone_number": "419-223-4223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 INDIANA AVE",
"city": "SAINT MARYS",
"state": "OH",
"postal_code": "458851310",
"telephone_number": "419-394-3258",
"fax_number": "419-394-4769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNAL",
"first_name": "SUSAN",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "PTA. 03450",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-14",
"last_updated": "2009-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "03450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Marys, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.