Active NPI
Susan H. Hewlett, RPT
- Physical Therapist
- Lucedale, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT6221
- Practice address
- 2210 Mill Street Ext Ste B
Lucedale, MS 39452-6079 - Phone
- (601) 947-9005
- Fax
- (601) 947-9007
- NPI assigned
- Sep 10, 2007
- Last updated
- Jul 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT006718 | FL | |
| Physical Therapist | 225100000X | PT6221 | MS | Primary |
Addresses
Primary practice location
2210 Mill Street Ext Ste B
Lucedale, MS 39452-6079
Mailing address
251 Johnston St SE Ste 200
Decatur, AL 35601-2515
Phone (256) 350-1764
Other practice location 1
3144 NW 114th Ave
Coral Springs, FL 33065-3106
Phone (954) 753-5262
Other practice location 2
433 Main St
Leakesville, MS 39451-6502
Phone (601) 394-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
433 Main St
Leakesville, MS 39451-6502
Phone (601) 394-4545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006718 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encore Rehabilitation, Inc. | Physical Therapist | Current | Accepting new patients |
| Encore Rehabilitation, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708
433 Main St
Leakesville, MS 39451
Phone (601) 394-4545
2210 Mill Street Ext
Ste B
Lucedale, MS 39452
Phone (601) 947-9005
5136 Main St
Lucedale, MS 39452
Phone (601) 947-9005
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Decatur, AL
- NPI 1033218524
MS, Physical Therapist
-
dba Encore Coast Hand Therapy
- Occupational Medicine Clinic/Center
- Gulfport, MS
- NPI 1437962313
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1356536742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 JOHNSTON ST SE STE 200",
"city": "DECATUR",
"state": "AL",
"postal_code": "356012515",
"telephone_number": "256-350-1764",
"fax_number": "256-355-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 MILL STREET EXT STE B",
"city": "LUCEDALE",
"state": "MS",
"postal_code": "394526079",
"telephone_number": "601-947-9005",
"fax_number": "601-947-9007"
}
],
"practiceLocations": [
{
"address_1": "3144 NW 114th Ave",
"address_purpose": "LOCATION",
"city": "Coral Springs",
"state": "FL",
"postal_code": "330653106",
"country_code": "US",
"telephone_number": "954-753-5262",
"fax_number": "954-752-8431",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "433 Main St",
"address_purpose": "LOCATION",
"city": "Leakesville",
"state": "MS",
"postal_code": "394516502",
"country_code": "US",
"telephone_number": "601-394-4545",
"fax_number": "601-394-4546",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEWLETT",
"first_name": "SUSAN",
"middle_name": "H.",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT006718",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "PT6221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lucedale, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.