Active NPI
Suzette Marie David-Boyle
- Physical Therapy Assistant
- Saint John, IN
National Provider Identifier
1417872425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 06002769A
- Practice address
- 9615 Keilman St
Saint John, IN 46373-9406 - Phone
- (219) 365-0228
- Fax
- (219) 365-0229
- NPI assigned
- Aug 11, 2026
- 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 Therapy Assistant | 225200000X | 06002769A | IN | Primary |
Addresses
Primary practice location
9615 Keilman St
Saint John, IN 46373-9406
Mailing address
9615 Keilman St
Saint John, IN 46373-9406
Phone (219) 365-0228
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1417872425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9615 KEILMAN ST",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "463739406",
"telephone_number": "219-365-0228",
"fax_number": "219-365-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9615 KEILMAN ST",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "463739406",
"telephone_number": "219-365-0228",
"fax_number": "219-365-0229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID-BOYLE",
"first_name": "SUZETTE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-11",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IN",
"license": "06002769A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint John, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.