Susan H. Hewlett, RPT
Individual provider Active NPI Physical Therapist · Lucedale, MS
NPI 1356536742 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1356536742
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT6221 (MS)
- 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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Encore Rehabilitation, Inc
Practice addresses (Care Compare)
433 Main St
Leakesville, MS 39451-6502
Phone (601) 394-4545
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170929000339 | MS | Practitioner - Physical Therapist in Private Practice | 5496020539 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006718 | FL | MD | Physical Therapist |
| PT6221 | MS | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT006718 | FL | |
| Physical Therapist | 225100000X | PT6221 | MS | Yes |
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
Other providers in Lucedale, MS
- Heart to Heart Outreach Ministries, Inc.
- Declan F Hegarty
- Dyane P Held
- Larry A Henderson Jr.
- Breeley Henzen
- Renata Holland Hillman
- Rodney Lee Holdren II
- Edward Eray Howell
- Natasha Howell
- Michael S. Huber
All providers in Lucedale, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.