Individual provider Active NPI

Susan V. Duff, EDD, PT, OT, CHT

  • Physical Therapist
  • Wyndmoor, PA
National Provider Identifier
1619209921
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT006638L Issued in PA
Practice address
8200 Flourtown Ave
Suite 11
Wyndmoor, PA 19038-7976
Phone
(215) 233-5572
Fax
(215) 233-5584
NPI assigned
Feb 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT006638L PA Primary
Occupational Therapist 225X00000X OC001059L PA

Addresses

Primary practice location

8200 Flourtown Ave
Suite 11
Wyndmoor, PA 19038-7976

Mailing address

8200 Flourtown Ave
Suite 11
Wyndmoor, PA 19038-7976
Phone (215) 233-5572

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
OC001059LPAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265846400000",
    "number": "1619209921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE",
            "address_2": "SUITE 11",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387976",
            "telephone_number": "215-233-5572",
            "fax_number": "215-233-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 FLOURTOWN AVE",
            "address_2": "SUITE 11",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "190387976",
            "telephone_number": "215-233-5572",
            "fax_number": "215-233-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFF",
        "first_name": "SUSAN",
        "middle_name": "V.",
        "name_prefix": "Mrs.",
        "credential": "EDD, PT, OT, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006638L",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC001059L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyndmoor, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.