Susan Marie Bochnovich Anderson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT020767 Issued in PA

Practice address

423 Scranton Carbondale Hwy
Scranton, PA 18508-1115

Phone

(570) 207-5502

Fax

(570) 207-5511

NPI assigned

Jul 20, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Susan Marie Bochnovich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sanderson@viewmont.medentdirect.com

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.

• Physical Therapy Associates of Northeast Pennsylvania Inc

  • Physical Therapy Clinic/Center
  • Old Forge, PA
  • NPI 1326054750

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1295048262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 SCRANTON CARBONDALE HWY",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081115",
            "telephone_number": "570-207-5502",
            "fax_number": "570-207-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 SCRANTON CARBONDALE HWY",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081115",
            "telephone_number": "570-207-5502",
            "fax_number": "570-207-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCHNOVICH ANDERSON",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BOCHNOVICH",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Ira Blau, MSW LCSW
• Charles G Blewitt, EDD LCSW
• Eric W Blomain, M.D.
• Jamill Marcus Blue
• Jeffrey T Blum, MD
• Geetha Bodapati, MBBS
• Sarah Bodnar, LCSW
• Mark William Bohn, M.D.
• Thomas S Boland, MD
• Jared Bomba

• Physical Therapist in Scranton, PA
• Providers in Scranton, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.