Suzanne Gowen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

024275-1 Issued in FL

Practice address

100 Saratoga Village Blvd
Suite 35
Malta, NY 12020-3737

Phone

(518) 899-9235

Fax

(518) 899-9315

NPI assigned

Oct 26, 2012

Sex

Female

Sole proprietor

No

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.

• Newmeadow, Inc.

  • Early Intervention Provider Agency
  • Clifton Park, NY
  • NPI 1831342963
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2012.

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1265785331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SARATOGA VILLAGE BLVD",
            "address_2": "SUITE 35",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120203737",
            "telephone_number": "518-899-9235",
            "fax_number": "518-899-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SARATOGA VILLAGE BLVD",
            "address_2": "SUITE 35",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120203737",
            "telephone_number": "518-899-9235",
            "fax_number": "518-899-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWEN",
        "first_name": "SUZANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "024275-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Glenn
• Maryanne Godlewski, RPH
• Mary H Golden, BS, PHARM
• Thomas Francis Golden II, B.S.PHARM.
• Erin Gorman, LMHC
• Keith Allen Graham, ATC/L
• Roland Graves Jr., LMHC
• Bryan Guild, PT, DPT
• Katherine Hamel, MA, LAT, ATC
• Amjad M Hammad, MD

• All providers in Malta, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.