Individual provider Active NPI

Susan P Striebeck, DC/PTA

  • Physical Therapy Assistant
  • Vinton, VA
National Provider Identifier
1477543791
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306601850 Issued in VA
Practice address
1110 Vinyard Rd
Vinton, VA 24179-3632
Phone
(540) 343-0466
Fax
(540) 345-2261
NPI assigned
Oct 27, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104555828 VA
Physical Therapy Assistant 225200000X 2306601850 VA Primary

Addresses

Primary practice location

1110 Vinyard Rd
Vinton, VA 24179-3632

Mailing address

1110 Vinyard Rd
Vinton, VA 24179-3632
Phone (540) 343-0466

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

State licenses

LicenseStateTypeSpecialty
0104555828VAMDChiropractor
2306601850VAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Therapies of Roanoke, Inc. Past Accepting new patients
Professional Therapies of Roanoke, Inc. 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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1477543791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 VINYARD RD",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241793632",
            "telephone_number": "540-343-0466",
            "fax_number": "540-345-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 VINYARD RD",
            "city": "VINTON",
            "state": "VA",
            "postal_code": "241793632",
            "telephone_number": "540-343-0466",
            "fax_number": "540-345-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRIEBECK",
        "first_name": "SUSAN",
        "middle_name": "P",
        "credential": "DC/PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104555828",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306601850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.