Susan Ficken Pediatric Therapy LLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

SUSAN FICKEN PEDIATRIC THERAPY LLC

Practice address

132 Don Dr
Shohola, PA 18458-4147

Phone

(570) 656-6071

NPI assigned

Oct 28, 2014

Last updated

Oct 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Susan Lynne Ficken, PT

Title

Owner

Phone

(570) 656-6071

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1174928451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 DON DR",
            "city": "SHOHOLA",
            "state": "PA",
            "postal_code": "184584147",
            "telephone_number": "570-656-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 DON DR",
            "city": "SHOHOLA",
            "state": "PA",
            "postal_code": "184584147",
            "telephone_number": "570-656-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN FICKEN PEDIATRIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "FICKEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-656-6071",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina C Rhoades, LCSW
• Carley Elizabeth Salas, MS, RDN
• Shohola Volunteer Fire Department
• Lorraine Spinard, DC
• Supervisors Shohola Township (Shohola Township Ambulance)
• Dora Tsiattalos, IBCLC

• Pediatric Physical Therapist in Shohola, PA
• Providers in Shohola, PA by specialty
• Pediatric Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.