Individual provider Active NPI

Susan D. Jameson, P.T.

  • Physical Therapist
  • Narragansett, RI
National Provider Identifier
1508090564
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00507 Issued in RI
Practice address
14 Woodruff Ave
Suite 7
Narragansett, RI 02882-3467
Phone
(401) 782-0500
Fax
(401) 788-2253
NPI assigned
May 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 00507 RI Primary

Addresses

Primary practice location

14 Woodruff Ave
Suite 7
Narragansett, RI 02882-3467

Mailing address

14 Woodruff Ave
Suite 7
Narragansett, RI 02882-3467
Phone (401) 782-0500

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": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1508090564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WOODRUFF AVE",
            "address_2": "SUITE 7",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823467",
            "telephone_number": "401-782-0500",
            "fax_number": "401-788-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WOODRUFF AVE",
            "address_2": "SUITE 7",
            "city": "NARRAGANSETT",
            "state": "RI",
            "postal_code": "028823467",
            "telephone_number": "401-782-0500",
            "fax_number": "401-788-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMESON",
        "first_name": "SUSAN",
        "middle_name": "D.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "00507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Narragansett, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.