Active NPI
Susan Davis Wright, PT
- Pediatric Physical Therapist
- Alpharetta, GA
National Provider Identifier
1346567229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT002863
- Practice address
- 325 Morning Mist Way
Alpharetta, GA 30005-3741 - Phone
- (770) 314-5958
- NPI assigned
- Apr 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT002863 | GA | Primary |
Addresses
Primary practice location
325 Morning Mist Way
Alpharetta, GA 30005-3741
Mailing address
325 Morning Mist Way
Alpharetta, GA 30005-3741
Phone (770) 314-5958
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT002863 | GA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272758400000",
"number": "1346567229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MORNING MIST WAY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300053741",
"telephone_number": "770-314-5958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 MORNING MIST WAY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300053741",
"telephone_number": "770-314-5958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "SUSAN",
"middle_name": "DAVIS",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-30",
"last_updated": "2010-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "GA",
"license": "PT002863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.