Active NPI
Susan Lee McNeil, PTA
- Physical Medicine & Rehabilitation Physician
- Fort Collins, CO
National Provider Identifier
1356639157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2306602658
- Practice address
- 3717 S Taft Hill Rd
#121
Fort Collins, CO 80526-2967 - Phone
- (970) 219-7758
- NPI assigned
- Jul 13, 2011
- Last updated
- Jul 13, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2306602658 | VA | Primary |
Addresses
Primary practice location
3717 S Taft Hill Rd
#121
Fort Collins, CO 80526-2967
Mailing address
3717 S Taft Hill Rd
#121
Fort Collins, CO 80526-2967
Phone (970) 219-7758
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 |
|---|---|---|---|
| 2306602658 | VA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310515200000",
"number": "1356639157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3717 S TAFT HILL RD",
"address_2": "#121",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805262967",
"telephone_number": "970-219-7758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3717 S TAFT HILL RD",
"address_2": "#121",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805262967",
"telephone_number": "970-219-7758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEIL",
"first_name": "SUSAN",
"middle_name": "LEE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2011-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "2306602658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.