Individual provider Active NPI

Susan Vestin, MSPT

  • Physical Therapist
  • Chestnut Hill, MA
National Provider Identifier
1528416781
Registry record updated May 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15222 Issued in MA
Practice address
244 Bonad Rd
Chestnut Hill, MA 02467-3642
Phone
(617) 320-8229
NPI assigned
May 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2016

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 15222 MA Primary

Addresses

Primary practice location

244 Bonad Rd
Chestnut Hill, MA 02467-3642

Mailing address

244 Bonad Rd
Chestnut Hill, MA 02467-3642
Phone (617) 320-8229

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
15222MAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1464393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464393600000",
    "number": "1528416781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 BONAD RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673642",
            "telephone_number": "617-320-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 BONAD RD",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024673642",
            "telephone_number": "617-320-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VESTIN",
        "first_name": "SUSAN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-28",
        "last_updated": "2016-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2016; 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.