Active NPI
Susan Stevens
- Physical Therapy Assistant
- Westmoreland, TN
National Provider Identifier
1275965014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1883
- Practice address
- 1559 New Highway 52 E
Westmoreland, TN 37186-2243 - Phone
- (615) 644-5111
- NPI assigned
- Aug 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 1883 | Primary |
Addresses
Primary practice location
1559 New Highway 52 E
Westmoreland, TN 37186-2243
Mailing address
350 Paul Thompson Rd
Bethpage, TN 37022-1920
Phone (615) 888-4024
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375488000000",
"number": "1275965014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 PAUL THOMPSON RD",
"city": "BETHPAGE",
"state": "TN",
"postal_code": "370221920",
"telephone_number": "615-888-4024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1559 NEW HIGHWAY 52 E",
"city": "WESTMORELAND",
"state": "TN",
"postal_code": "371862243",
"telephone_number": "615-644-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-03",
"last_updated": "2013-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": "1883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westmoreland, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.