Susan Fial Willner, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003579 Issued in NY

Practice address

104 E 40TH St
908
New York, NY 10016-1801

Phone

(212) 370-4540

Fax

(212) 682-8206

NPI assigned

Dec 5, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Susan Fial Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midtown Physical Therapist Associates

  • Physical Therapist
  • New York, NY
  • NPI 1083666077
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1447234240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E 23RD ST",
            "address_2": "4C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105022",
            "telephone_number": "212-475-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 40TH ST",
            "address_2": "908",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161801",
            "telephone_number": "212-370-4540",
            "fax_number": "212-682-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLNER",
        "first_name": "SUSAN",
        "middle_name": "FIAL",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "003579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "FIAL",
            "prefix": "MS.",
            "credential": "P.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Damon Willlngham Jr., MHC-LP
• Carly Willmes
• Gary S Willner, DC, PT
• Judith Pleasure Willner, M.D.
• Orin L. Willner, L.C.S.W.
• Colin Jack Willoughby
• Kristin Willoughby
• Kristina Nicole Willoughby, V.M.D.
• Michelle Willoughby, LCSW
• Samantha Willoughby

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.