Active NPI
Susan L Flemming, P.T.
- Physical Therapist
- Annapolis, MD
National Provider Identifier
1386846780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18499
- Practice address
- 1831 Forest Dr a
Annapolis, MD 21401-4430 - Phone
- (443) 415-8917
- Fax
- (410) 268-9401
- NPI assigned
- Jun 5, 2007
- 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 Therapist | 225100000X | 18499 | MD | Primary |
Addresses
Primary practice location
1831 Forest Dr a
Annapolis, MD 21401-4430
Mailing address
1831 Forest Dr a
Annapolis, MD 21401-4430
Phone (443) 415-8917
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679630073 | Other | MD | FACILITY NPI NUMBER |
| 283MR005 | Other | MD | PTAN, MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Maryland School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
407 Light St Ave
Severna Park, MD 21146-1100
Phone (443) 415-8917
509 Mayo Rd
Glen Burnie, MD 21061-4519
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Be Strong and Courageous Therapy | Physical Therapist | Current | Accepting new patients |
Locations
1831 Forest Dr
Ste A
Annapolis, MD 21401
Phone (410) 268-9400
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.
-
- Physical Therapist
- Annapolis, MD
- NPI 1417326901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450828800000",
"number": "1386846780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1831 FOREST DR A",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014430",
"telephone_number": "443-415-8917",
"fax_number": "410-268-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 FOREST DR A",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214014430",
"telephone_number": "443-415-8917",
"fax_number": "410-268-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMMING",
"first_name": "SUSAN",
"middle_name": "L",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-05",
"last_updated": "2015-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "18499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY NPI NUMBER",
"identifier": "1679630073",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN, MEDICARE",
"identifier": "283MR005",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.