Active NPI
Susan Z Laub, MSPT
- Physical Therapist
- Ridgefield, CT
National Provider Identifier
1326794033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8609
- Practice address
- 27 Governor St
Ridgefield, CT 06877-4608 - Phone
- (203) 433-5555
- NPI assigned
- Feb 22, 2022
- 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 | 8609 | CT | Primary |
Addresses
Primary practice location
27 Governor St
Ridgefield, CT 06877-4608
Mailing address
Rvnahealth
27 Governor St
Ridgefield, CT 06877
Phone (203) 438-5555
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645488000000",
"number": "1326794033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RVNAHEALTH",
"address_2": "27 GOVERNOR ST",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "06877",
"telephone_number": "203-438-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 GOVERNOR ST",
"city": "RIDGEFIELD",
"state": "CT",
"postal_code": "068774608",
"telephone_number": "203-433-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAUB",
"first_name": "SUSAN",
"middle_name": "Z",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2022-02-22",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "8609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgefield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.