Active NPI
Susan D Ross, PT
- Physical Therapist
- Akron, OH
National Provider Identifier
1275750929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008004
- Practice address
- 209 Merriman Rd
Akron, OH 44303-1904 - Phone
- (330) 761-9163
- NPI assigned
- Apr 20, 2007
- Last updated
- Jul 8, 2007
- 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 | PT008004 | OH | Primary |
Addresses
Primary practice location
209 Merriman Rd
Akron, OH 44303-1904
Mailing address
779 Silverberry LN
Hudson, OH 44236-4620
Phone (330) 463-5588
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 |
|---|---|---|---|
| PT008004 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275750929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "779 SILVERBERRY LN",
"city": "HUDSON",
"state": "OH",
"postal_code": "442364620",
"telephone_number": "330-463-5588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 MERRIMAN RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443031904",
"telephone_number": "330-761-9163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "SUSAN",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT008004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.