Individual provider Active NPI

Susannah Coverdale Haarmann, PT

  • Physical Therapist
  • Asheville, NC
National Provider Identifier
1447424429
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13266 Issued in NC
Practice address
1201 Bleachery Blvd
Suite # 201
Asheville, NC 28803-8313
Phone
(828) 277-5763
Fax
(828) 277-5764
NPI assigned
Apr 21, 2008
Last updated
Aug 28, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT009172 GA
Physical Therapist 225100000X 13266 NC Primary

Addresses

Primary practice location

1201 Bleachery Blvd
Suite # 201
Asheville, NC 28803-8313

Mailing address

1201 Bleachery Blvd
Suite # 201
Asheville, NC 28803-8313
Phone (828) 277-5763

Other identifiers 1

IdentifierTypeStateIssuer
7212964MedicaidNC

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT009172GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Your Core PT, LLC Current Accepting new patients
Athens Therapeutics Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1447424429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BLEACHERY BLVD",
            "address_2": "SUITE # 201",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038313",
            "telephone_number": "828-277-5763",
            "fax_number": "828-277-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BLEACHERY BLVD",
            "address_2": "SUITE # 201",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038313",
            "telephone_number": "828-277-5763",
            "fax_number": "828-277-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAARMANN",
        "first_name": "SUSANNAH",
        "middle_name": "COVERDALE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-21",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009172",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "13266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212964",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.