Individual provider Active NPI

Susan Nadine Earles, PT MS

  • Physical Therapist
  • Wytheville, VA
National Provider Identifier
1346314846
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Aug 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
008954895MedicaidVA
P00038606OtherRAILROAD MEDICARE
2116103OtherMAMSI UHC
193870OtherANTHEM

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

OrganizationSpecialtyStatusNew patients
Choice Physical Therapy & Wellness, Inc Physical Therapist CurrentSince Feb 1, 2018 Accepting new patients
Blacksburg Neurology PC CurrentSince Sep 1, 2020 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.

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.

Verify at the official NPI Registry.