Active NPI
Susan Nadine Earles, PT MS
- Physical Therapist
- Wytheville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 1995 West Ridge Road
Wytheville, VA 24382 - Phone
- (276) 223-1983
- Fax
- (276) 223-1316
- NPI assigned
- Nov 17, 2006
- 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 | Primary |
Addresses
Primary practice location
1995 West Ridge Road
Wytheville, VA 24382
Mailing address
1995 West Ridge Road
Wytheville, VA 24382
Phone (276) 223-1983
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008954895 | Medicaid | VA | |
| P00038606 | Other | RAILROAD MEDICARE | |
| 2116103 | Other | MAMSI UHC | |
| 193870 | Other | ANTHEM |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choice Physical Therapy & Wellness, Inc | Physical Therapist | Current | Accepting new patients |
| Blacksburg Neurology PC | Current | Accepting new patients | |
| N Paul Morin II MD PC | Physical Therapist | Past | Accepting new patients |
Locations
639 W Independence Blvd
Mount Airy, NC 27030
Phone (336) 783-9400
847 Westlake Dr
Mount Airy, NC 27030
Phone (336) 719-7892
2955 Market St
Ste C4
Christiansburg, VA 24073
Phone (336) 783-9400
2955 Market St
Ste B
Christiansburg, VA 24073
Phone (540) 251-5084
Organizations & group practices 3
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.
-
- Specialist
- Christiansburg, VA
- NPI 1114937109
-
- Physical Medicine & Rehabilitation Physician
- Mount Airy, NC
- NPI 1912085648
Physical Therapist
-
- Physical Therapist
- Wytheville, VA
- NPI 1710016001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281657600000",
"number": "1346314846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1995 WEST RIDGE ROAD",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "24382",
"telephone_number": "276-223-1983",
"fax_number": "276-223-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 WEST RIDGE ROAD",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "24382",
"telephone_number": "276-223-1983",
"fax_number": "276-223-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLES",
"first_name": "SUSAN",
"middle_name": "NADINE",
"name_prefix": "Ms.",
"credential": "PT MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2010-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008954895",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00038606",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI UHC",
"identifier": "2116103",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "193870",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wytheville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.