Individual provider Active NPI

Susie L. Croke, P.T., C.S.C.S.

  • Physical Therapist
  • Encinitas, CA
National Provider Identifier
1265480560
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
332 Santa Fe Dr
Ste 120
Encinitas, CA 92024-5143
Phone
(760) 942-4400
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

332 Santa Fe Dr
Ste 120
Encinitas, CA 92024-5143

Mailing address

332 Santa Fe Dr
Ste 120
Encinitas, CA 92024-5143
Phone (760) 942-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051108001006 CA Practitioner - Physical Therapist in Private Practice 1951329960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Dieguito Orthopedic Medical Center P CGroup PAC ID 0143201442, 15 clinicians

Practice addresses (Care Compare)

2451 Impala Dr
Carlsbad, CA 92010-7227
Phone (760) 918-2322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
San Dieguito Orthopedic Medical Center P C Physical Therapist CurrentSince Apr 3, 2009 Accepting new patients
Scripps Encinitas Surgery Center, LLC CurrentSince Apr 3, 2009 Accepting new patients
Project Athlete and Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

2451 Impala Dr
Carlsbad, CA 92010
Phone (760) 942-4400

332 Santa Fe Dr
Ste 110
Encinitas, CA 92024
Phone (760) 632-4266

332 Santa Fe Dr
Ste 120
Encinitas, CA 92024
Phone (760) 942-4400

543 Encinitas Blvd
Ste 105
Encinitas, CA 92024
Phone (760) 291-7025

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1265480560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 SANTA FE DR",
            "address_2": "STE 120",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245143",
            "telephone_number": "760-942-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 SANTA FE DR",
            "address_2": "STE 120",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245143",
            "telephone_number": "760-942-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROKE",
        "first_name": "SUSIE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "P.T., C.S.C.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.