Susan Poland Huffman, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 12766 Issued in FL

Practice address

2706 Old Moultrie Rd
St Augustine, FL 32086-5447

Phone

(904) 794-6760

Fax

(904) 794-6760

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Bodywise Studios, Inc.

  • Physical Therapy Clinic/Center
  • St Augustine, FL
  • NPI 1023106127
  NPD (past) Authorized official
• Body Works Studio Inc

  • Physical Therapy Clinic/Center
  • Neptune Beach, FL
  • NPI 1659564920

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346338464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5538",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320855538",
            "telephone_number": "904-808-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 OLD MOULTRIE RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865447",
            "telephone_number": "904-794-6760",
            "fax_number": "904-794-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "SUSAN",
        "middle_name": "POLAND",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 12766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "Y9175",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Hunter Hudson, PT, DPT
• Catherine Hudson, PHARMD
• Hannah Hudson, CF-SLP
• Brett Huether, DPT, PT
• Michael Shane Huey
• Donna H Huffstetler
• Melinda J Hug
• Autumn Elizabeth Hughes, M.ED., CCC-SLP
• Kathleen M Hughes, MD
• Phaedra Hughes, NBC-HWC

• Physical Therapist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Physical Therapist in Florida

• 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.