Susan S. Hope, P.T.
Individual provider Active NPI Pediatric Physical Therapist · Milner, GA
NPI 1255495669 · NPPES record last updated Feb 11, 2010
Key facts
- NPI
- 1255495669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- PT004074 (GA)
- Practice address
- 2395 Hwy 36 E
Milner, GA 30257 - Phone
- (404) 405-3451
- Fax
- (770) 412-8576
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4074 | GA | MD | Pediatric Physical Therapist |
| PT004074 | GA | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeds, LLC | Pediatrics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 4074 | GA | |
| Pediatric Physical Therapist | 2251P0200X | PT004074 | GA | Yes |
Addresses
Primary practice location
2395 Hwy 36 E
Milner, GA 30257
Mailing address
PO Box 1506
Jackson, GA 30233
Phone (404) 405-3451
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000747073B | Medicaid | GA |
Other names
- Susan S Ctibor
Other providers in Milner, GA
- Catherine Carroll
- Compassion Care, Inc.
- Tequillia Flewellen
- Pamela Harbin
- Jerry Wayne Hope Jr.
- Therapeds, LLC
All providers in Milner, GA · Pediatric Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.