Individual provider Active NPI

Susan Eileen Lawrence, PT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1376755231
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018662 Issued in PA
Practice address
4102 Falls Rd
Baltimore, MD 21211-1641
Phone
(443) 515-1090
Fax
(443) 740-9275
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT018662 PA Primary

Addresses

Primary practice location

4102 Falls Rd
Baltimore, MD 21211-1641

Mailing address

1628 Bolton St
Baltimore, MD 21217-4316
Phone (443) 515-1090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140218000410 MD Practitioner - Physical Therapist in Private Practice 2163651167 Practice locations: Baltimore, MD

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

Practice addresses (Care Compare)

4102 Falls Rd
Baltimore, MD 21211-1641
Phone (443) 515-1090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT018662PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Eberle Physical Therapy LLC CurrentSince Nov 24, 2025 Accepting new patients

Locations

4102 Falls Rd
Baltimore, MD 21211
Phone (410) 344-3610

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1376755231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 BOLTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212174316",
            "telephone_number": "443-515-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 FALLS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111641",
            "telephone_number": "443-515-1090",
            "fax_number": "443-740-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "SUSAN",
        "middle_name": "EILEEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.

Verify at the official NPI Registry.