Susan Ilene Mintz, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13130 Issued in CA

Practice address

1980 Old Mission Dr
C-1
Solvang, CA 93463-2262

Phone

(805) 686-1934

Fax

(805) 688-6668

NPI assigned

Feb 27, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Accelerate Physical Therapy PCGroup PAC ID 3577816008, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Accelerate Physical Therapy, PC

  • Physical Therapist
  • Newport Beach, CA
  • NPI 1104301258
  Medicare reassignment Care Compare group NPD
• Sand Coast Rehab Physical Therapy Inc

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1639766603

  CA

  Medicare reassignment

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1629247382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 OLD MISSION DR",
            "address_2": "C-1",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632262",
            "telephone_number": "805-686-1934",
            "fax_number": "805-688-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 OLD MISSION DR",
            "address_2": "C-1",
            "city": "SOLVANG",
            "state": "CA",
            "postal_code": "934632262",
            "telephone_number": "805-686-1934",
            "fax_number": "805-688-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTZ",
        "first_name": "SUSAN",
        "middle_name": "ILENE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis James Mellon, D.O.
• Merlo Medical
• Shayli Merlo
• Katherine Ann Mihalic, AMFT
• Mende Rae Miller, PT
• Vicki Ann Moeller
• Kenneth Craig Nash, DDS
• Lisa N Nelms, D.P.M
• Joanne Nelson, MA
• Garrett Dean Charles Norvell, MD

• Physical Therapist in Solvang, CA
• Providers in Solvang, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.