Individual provider Active NPI

Susan K Kurtz, MPT

  • Physical Therapist
  • Jefferson, LA
National Provider Identifier
1598898975
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03955R Issued in LA
Practice address
101 River Rd Ste 112
Jefferson, LA 70121-4226
Phone
(504) 828-7696
Fax
(504) 828-8935
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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 03955R LA Primary

Addresses

Primary practice location

101 River Rd Ste 112
Jefferson, LA 70121-4226

Mailing address

101 River Rd Ste 112
Jefferson, LA 70121-4226
Phone (504) 828-7696

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

State licenses

LicenseStateTypeSpecialty
03955RLAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare System, L.C. Past Accepting new patients
Bridges Physical Therapy & Wellness, LLC Physical Therapist PastSince Jan 1, 2008 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1598898975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVER RD STE 112",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701214226",
            "telephone_number": "504-828-7696",
            "fax_number": "504-828-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RIVER RD STE 112",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701214226",
            "telephone_number": "504-828-7696",
            "fax_number": "504-828-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "SUSAN",
        "middle_name": "K",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "03955R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.