Susan T Boland, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT002023E Issued in PA

Practice address

201 N Jackson St Lowr Floor
Media, PA 19063-2926

Phone

(610) 499-8966

NPI assigned

Jan 4, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1396075099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 DARTMOUTH AVE",
            "address_2": "APT. C",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811546",
            "telephone_number": "610-499-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N JACKSON ST LOWR FLOOR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632926",
            "telephone_number": "610-499-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "SUSAN",
        "middle_name": "T",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT002023E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Blumenthal, PSYD
• Max Harley Blumenthal, DDS
• Casey B Boberick, DPT
• Levente Zsolt Bodak-Gyovai, D.M.D
• Leslie J Bohn, LMT
• Andreas Bollmann, MD
• Hugh Bonner, M.D.
• Michele Lee Boornazian, DO
• Boscovs Department Store LLC (Boscov's Optical)
• Reva A Bottles

• Physical Therapist in Media, PA
• Providers in Media, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.