Individual provider Active NPI

Susan Marina Perdos, RN, NCTMB, LMT, CCHT

  • Naturopath
  • Canfield, OH
National Provider Identifier
1508880311
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
RN269374 Issued in OH
Practice address
5486 Woodland PL
Canfield, OH 44406-9506
Phone
(330) 519-4247
Fax
(330) 533-6678
NPI assigned
Jul 26, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN269374 OH
Registered Nurse 163W00000X RN509068L PA
Nurse Massage Therapist (NMT) 163WM1400X RN269374 OH
Nurse Massage Therapist (NMT) 163WM1400X 308981-00 PA
Nurse Massage Therapist (NMT) 163WM1400X 2003-1345 WV
Naturopath 175F00000X RN509068L PA
Naturopath 175F00000X RN269374 OH Primary
Homeopath 175L00000X RN269374 OH
Homeopath 175L00000X RN509068L PA
Massage Therapist 225700000X 20032345 WV
Massage Therapist 225700000X 308981-00 PA

Addresses

Primary practice location

5486 Woodland PL
Canfield, OH 44406-9506

Mailing address

5486 Woodland PL
Canfield, OH 44406-9506
Phone (330) 519-4247

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN509068LPAMDRegistered Nurse
308981-00PAMDNurse Massage Therapist (NMT)
2003-1345WVMDNurse Massage Therapist (NMT)
RN269374OHMDNaturopath
20032345WVMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1508880311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5486 WOODLAND PL",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069506",
            "telephone_number": "330-519-4247",
            "fax_number": "330-533-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5486 WOODLAND PL",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069506",
            "telephone_number": "330-519-4247",
            "fax_number": "330-533-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDOS",
        "first_name": "SUSAN",
        "middle_name": "MARINA",
        "name_prefix": "Ms.",
        "credential": "RN, NCTMB, LMT, CCHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN269374",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN509068L",
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "OH",
            "license": "RN269374",
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "PA",
            "license": "308981-00",
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "WV",
            "license": "2003-1345",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "PA",
            "license": "RN509068L",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "OH",
            "license": "RN269374",
            "primary": true
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "OH",
            "license": "RN269374",
            "primary": false
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "PA",
            "license": "RN509068L",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WV",
            "license": "20032345",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "PA",
            "license": "308981-00",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.