Active NPI
Janice Su, DPT
- Physical Therapist
- Austin, TX
National Provider Identifier
1275819377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 38314
- Practice address
- 4512 Dusik LN
Austin, TX 78746-7368 - Phone
- (951) 696-9353
- NPI assigned
- Nov 2, 2011
- 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 | PT 38314 | CA | Primary |
Addresses
Primary practice location
4512 Dusik LN
Austin, TX 78746-7368
Mailing address
4512 Dusik LN
Austin, TX 78746-7368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0286949 | Other | CA | DEPT. OF LABOR AND INDUSTRIES |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 38314 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino Medical Orthopaedic Group, Inc. | Past | Accepting new patients | |
| Bayada Home Health Care, Inc. | Past | Accepting new patients | |
| Pillsbury Physical Therapy | Physical Therapist | Past | Accepting new patients |
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.
-
- Home Health Agency
- Broomfield, CO
- NPI 1841347598
-
- Physical Therapy Clinic/Center
- Paradise, CA
- NPI 1962442319
Physical Therapist
-
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1225239304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1275819377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4512 DUSIK LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787467368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4512 DUSIK LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787467368",
"telephone_number": "951-696-9353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SU",
"first_name": "JANICE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-02",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 38314",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR AND INDUSTRIES",
"identifier": "0286949",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.