Susan U Doolittle

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00006804 Issued in WA

Practice address

410 Providence LN NE
Olympia, WA 98506-6927

Phone

(360) 493-4995

Fax

(360) 493-4457

NPI assigned

Aug 30, 2006

Last updated

Jul 23, 2012By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1578673430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 PROVIDENCE LN NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985066927",
            "telephone_number": "360-493-4995",
            "fax_number": "360-493-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PROVIDENCE LN NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985066927",
            "telephone_number": "360-493-4995",
            "fax_number": "360-493-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLITTLE",
        "first_name": "SUSAN",
        "middle_name": "U",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00006804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8333921",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIES",
            "identifier": "0164913",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaine Donnelly
• Paul W Donnelly, OPTIAN
• Terris Donnelly
• Tabitha Donohue, MSW
• Gary Doolittle, MD
• Christine Doran, PHARMD
• Jennifer Dorling, MD
• Whitney Macrae Dorn, L.M.T.
• Gregory G Dorris, PSY.D.
• Susan Marie Dorsey, OTRL

• Physical Therapist in Olympia, WA
• Providers in Olympia, 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 23, 2012; 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.