Susan Dumelin

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

19217 36TH Ave W Ste 102
Lynnwood, WA 98036-5751

Phone

(425) 670-9991

Fax

(425) 670-9995

NPI assigned

Aug 23, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1568579928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19217 36TH AVE W STE 102",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365751",
            "telephone_number": "425-670-9991",
            "fax_number": "425-670-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19217 36TH AVE W STE 102",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365751",
            "telephone_number": "425-670-9991",
            "fax_number": "425-670-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMELIN",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PT00009470",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DRDC Corporation (NS Pain Clinic)
• Randall G Dreessen, DC CCSP
• Inna Dronova
• Sara Rene' Drury, LMP
• DRX Wa Urgent Care Providers, PLLC (Immediate Clinic)
• Ellie Madison Duran
• Eden Nicole Durborow
• Durocher Counseling Services PSC
• Rebecca J. Durocher, MSW, LICSW
• Aleeta Yvonne Durr

• Physical Therapist in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.