Susan L McKewen, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

4756 Issued in OR

Practice address

4907 W Evans Creek Rd
Rogue River, OR 97537-4626

Phone

(541) 582-3481

NPI assigned

Sep 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306937248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 W EVANS CREEK RD",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "975374626",
            "telephone_number": "541-582-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 W EVANS CREEK RD",
            "city": "ROGUE RIVER",
            "state": "OR",
            "postal_code": "975374626",
            "telephone_number": "541-582-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEWEN",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "4756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lwafp, PC Inc (Rogue River Health Clinic)
• Edward J Marchi, DDS
• Brian John Mateja, D.O.
• Teresa Marie McConnell, L.M.T
• Martin Dale McIntosh, D.C.
• Heather Calleen Merlo-Grifantini, MD
• Mindful Wellness LLC
• Jeri Lynn Mize, LMT
• Morrow Alf, LLC (Morrow Heights Assisted Living)
• Morrow Heights

• Orthopedic Physical Therapist in Rogue River, OR
• Providers in Rogue River, OR by specialty
• Orthopedic Physical Therapist in Oregon

• 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.

Verify at the official NPI Registry.