Active NPI
Susan Musicant
- Physical Therapist
- Oakland, CA
National Provider Identifier
1467860759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13013
- Practice address
- 510 17TH St
Oakland, CA 94612-1553 - Phone
- (510) 710-5179
- NPI assigned
- Jul 30, 2014
- 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 Therapist | 225100000X | 13013 | CA | Primary |
Addresses
Primary practice location
510 17TH St
Oakland, CA 94612-1553
Mailing address
510 17TH St
Oakland, CA 94612-1553
Phone (510) 710-5179
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": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406678400000",
"number": "1467860759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 17TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121553",
"telephone_number": "510-710-5179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 17TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946121553",
"telephone_number": "510-710-5179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSICANT",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-30",
"last_updated": "2014-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "13013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
- Jessa Nicole Muscio Traylor, M.S.
- Muse of Healing Acupuncture & Wellness Center
- Lacee Elizabeth Musgrove, LCSW
- Naseem Musharbash, DDS
- Swapandeep Mushiana, M.S.
- Sheela Mussayar, PHARMD
- Rafael Musseb-Gil, FL-MH19985/CA-18667
- Mussie Sibhatu DDS Inc
- Mussie Sibhatu DDS, a Dental Corporation
- Marisa N Musso, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.