Suzzana Marie Ntalikas, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00006120 Issued in WA

Practice address

501 West 4TH Avenue
Toppenish Physical Therapy
Toppenish, WA 98948

Phone

(509) 865-3141

Fax

(509) 865-7388

NPI assigned

Jun 23, 2017

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

• Susan Marie Cowler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498176000000",
    "number": "1508386236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540640",
            "city": "NORTH SALT LAKE",
            "state": "UT",
            "postal_code": "840542726",
            "telephone_number": "509-865-3141",
            "fax_number": "509-865-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WEST 4TH AVENUE",
            "address_2": "TOPPENISH PHYSICAL THERAPY",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "98948",
            "telephone_number": "509-865-3141",
            "fax_number": "509-865-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NTALIKAS",
        "first_name": "SUZZANA",
        "middle_name": "MARIE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2017-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00006120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "COWLER",
            "middle_name": "MARIE",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eric Roger Nelson, CRNA
• Joe Nieto
• Destiny Tierra Noel
• Ashley Lynn Nordberg, ARNP
• Stacey Noyes, R.N.
• Nursing Assessments & Delegation Services
• Shane M Nye, PHARMD
• Patrick Oconnor, PHARMACIST
• Patricia Oliver
• Ruth M Olmer, PSYD., MAMFT

• Massage Therapist in Toppenish, WA
• Providers in Toppenish, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2017; 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.