Susan J Wells, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2672 Issued in OR

Practice address

601 N 1St St
Stayton, OR 97383-1704

Phone

(503) 769-3123

Fax

(503) 769-3176

NPI assigned

Sep 18, 2008

Last updated

Sep 22, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Promotion Advanced Functional Rehab LLCGroup PAC ID 1759391394, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Promotion Advanced Functional Rehab LLC

  dba ProMotion Physical Therapy

  • Orthopedic Physical Therapist
  • Stayton, OR
  • NPI 1710932710
  Medicare reassignment Care Compare group NPD
• Promotion Advanced Functional Rehab, LLC

  dba ProMotion AFR LLC

  • Physical Therapist
  • Silverton, OR
  • NPI 1689051658
  NPD (past)

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1548419161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 1ST ST",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831704",
            "telephone_number": "503-769-3123",
            "fax_number": "503-769-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 1ST ST",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831704",
            "telephone_number": "503-769-3123",
            "fax_number": "503-769-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndan Nam Walle, DMD
• Nicholas John Wanderscheid, PHARMD
• Craig S Ward, LD
• Courtney Marie Washington, PHARMD
• Sunan R Waters Sutton
• Samantha Ann Wilson
• Brandy Marie Wimer
• David J Wright, MD
• Eric S Yao, MD
• Molly Elizabeth Yao, FNP

• Physical Therapist in Stayton, OR
• Providers in Stayton, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.