Active NPI
Suzanne Coleman, MSPT
- Physical Therapist
- Henderson, NC
National Provider Identifier
1578893046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10602
- Practice address
- 280 S Beckford Dr
Henderson, NC 27536-2564 - Phone
- (252) 438-6141
- NPI assigned
- Jan 6, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10602 | NC | Primary |
Addresses
Primary practice location
280 S Beckford Dr
Henderson, NC 27536-2564
Mailing address
8528 Bermondsey Market Way
Wake Forest, NC 27587-4887
Phone (919) 761-9935
Other names 1
- Suzanne Citro
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10602 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265673600000",
"number": "1578893046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8528 BERMONDSEY MARKET WAY",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275874887",
"telephone_number": "919-761-9935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 S BECKFORD DR",
"city": "HENDERSON",
"state": "NC",
"postal_code": "275362564",
"telephone_number": "252-438-6141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "SUZANNE",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-06",
"last_updated": "2010-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "10602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "CITRO",
"credential": "MSPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Henderson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.