Active NPI
Susan Elizabeth Tong, MPT
- Physical Therapist
- Clarkston, MI
National Provider Identifier
1265693105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501010333
- Practice address
- 5364 Pheasant Run Rd
Clarkston, MI 48346-3952 - Phone
- (248) 321-8536
- Fax
- (248) 623-0179
- NPI assigned
- Jun 23, 2008
- 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 Therapist | 225100000X | 5501010333 | MI | Primary |
Addresses
Primary practice location
5364 Pheasant Run Rd
Clarkston, MI 48346-3952
Mailing address
1715 Northfield Dr
Rochester Hills, MI 48309-3819
Phone (248) 321-8536
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 |
|---|---|---|---|
| 5501010333 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1265693105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 NORTHFIELD DR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093819",
"telephone_number": "248-321-8536",
"fax_number": "248-623-0179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5364 PHEASANT RUN RD",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483463952",
"telephone_number": "248-321-8536",
"fax_number": "248-623-0179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONG",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501010333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.