Susan W Limburg, PT
Individual provider Active NPI Physical Therapist · Phoenix, MD
NPI 1295821064 · NPPES record last updated Sep 4, 2007
Key facts
- NPI
- 1295821064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 15731 (MD)
- Practice address
- 12838 Stone Eagle Rd
Phoenix, MD 21131-2317 - Phone
- (410) 823-1918
- Fax
- (410) 823-0738
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15731 | MD | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates, PA | Past | Accepting new patients | |
| Orthopaedic Associates, PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15731 | MD | Yes |
Addresses
Primary practice location
12838 Stone Eagle Rd
Phoenix, MD 21131-2317
Mailing address
12838 Stone Eagle Rd
Phoenix, MD 21131-2317
Phone (410) 823-1918
Other providers in Phoenix, MD
- Kleins of Jacksonville Inc
- Kleins of Jacksonville Inc
- Krecz Medical Associates LLC
- Christine Lanzi
- Leading Speech Therapy, LLC
- Christina Lombardi
- Michael Stephen Lorusso
- M. F. Diffendall OD PA
- Main Street Children'S Dentistry and Orthodontics of Phoenix LLC
- Luisa F Massari
All providers in Phoenix, MD · Physical Therapist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.