Susan Hele Van Orden, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3023 Issued in CO

Practice address

548 C Front Street
Fairplay, CO 80440

Phone

(719) 836-1833

Fax

(719) 836-3346

NPI assigned

Feb 8, 2010

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2010.

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1386976868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161",
            "city": "COMO",
            "state": "CO",
            "postal_code": "804320161",
            "telephone_number": "719-836-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 C FRONT STREET",
            "city": "FAIRPLAY",
            "state": "CO",
            "postal_code": "80440",
            "telephone_number": "719-836-1833",
            "fax_number": "719-836-3346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ORDEN",
        "first_name": "SUSAN",
        "middle_name": "HELE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "3023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Fairplay, CO
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.