Individual provider Active NPI

Susan Beth Claudio, M.S, P.T

  • Physical Therapist
  • Cornwall, NY
National Provider Identifier
1548413495
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62 024316 Issued in NY
Practice address
19 Laurel Ave
Cornwall, NY 12518-1403
Phone
(845) 458-4267
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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 62 024316 NY Primary

Addresses

Primary practice location

19 Laurel Ave
Cornwall, NY 12518-1403

Mailing address

135 Locust LN
Newburgh, NY 12550-2606
Phone (845) 565-4633

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
62 024316NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1548413495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 LOCUST LN",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125502606",
            "telephone_number": "845-565-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LAUREL AVE",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181403",
            "telephone_number": "845-458-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUDIO",
        "first_name": "SUSAN",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "M.S, P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "62 024316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornwall, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.