Individual provider Active NPI

Susan Caroline Calhoun, PT, DPT, MPT

  • Physical Therapist
  • Kirkland, WA
National Provider Identifier
1235517251
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61174149 Issued in WA
Practice address
620 5TH Ave S Ste 200
Kirkland, WA 98033-6736
Phone
(425) 814-5100
Fax
(425) 814-5103
NPI assigned
May 11, 2015
Last updated
May 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT006411 GA
Physical Therapist 225100000X 61174149 WA Primary

Addresses

Primary practice location

620 5TH Ave S Ste 200
Kirkland, WA 98033-6736

Mailing address

PO Box 741515
Los Angeles, CA 90074-1515

Other practice location 1

224 Shorter Ave NW
Rome, GA 30165-4288
Phone (706) 235-2727

Other practice location 2

2267 Memorial Dr Ste 300
Waycross, GA 31501-0902
Phone (912) 285-1927

Other names 1

  • Susan C Graham Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150929002120 GA Practitioner - Physical Therapist in Private Practice 4183932858 Reassigns benefits to 2 organizations
I20211228000150 WA Practitioner - Physical Therapist in Private Practice 4183932858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Mason Medical CenterGroup PAC ID 9830002617, 867 clinicians

Practice addresses (Care Compare)

11800 NE 128TH St
Suite 300
Kirkland, WA 98034-7211
Phone (425) 821-8004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61174149WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince May 18, 2015 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince May 18, 2015 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jan 20, 2020 Accepting new patients
Virginia Mason Medical Center CurrentSince Aug 19, 2022 Accepting new patients
Virginia Mason Medical Center CurrentSince May 18, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jan 20, 2020 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Virginia Mason Medical Center CurrentSince Aug 19, 2022 Accepting new patients
Independent Physical Therapy of Ga, LLC Physical Therapist PastSince Jan 1, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

7423 Adairsville Hwy
Adairsville, GA 30103
Phone (770) 373-9315

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085

224 Shorter Ave NW
Rome, GA 30165
Phone (706) 235-2727

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

11800 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 814-5100

620 5th Ave S
Ste 200
Kirkland, WA 98033
Phone (425) 814-5100

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1235517251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741515",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900741515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 5TH AVE S STE 200",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336736",
            "telephone_number": "425-814-5100",
            "fax_number": "425-814-5103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Shorter Ave NW",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "GA",
            "postal_code": "301654288",
            "country_code": "US",
            "telephone_number": "706-235-2727",
            "fax_number": "706-235-2627",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2267 Memorial Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315010902",
            "country_code": "US",
            "telephone_number": "912-285-1927",
            "fax_number": "912-285-1929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "SUSAN",
        "middle_name": "CAROLINE",
        "credential": "PT, DPT, MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006411",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61174149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "GRAHAM",
            "middle_name": "C",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.