Individual provider Active NPI

Susan A Hamre Veling, PTA

  • Physical Therapy Assistant
  • Madison, WI
National Provider Identifier
1639337561
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1048019 Issued in WI
Practice address
3401 Maple Grove Dr
St Marys Care Center
Madison, WI 53719-5013
Phone
(608) 845-1000
Fax
(608) 845-1001
NPI assigned
May 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1048019 WI Primary

Addresses

Primary practice location

3401 Maple Grove Dr
St Marys Care Center
Madison, WI 53719-5013

Mailing address

3401 Maple Grove Dr
Madison, WI 53719-5013
Phone (608) 845-1000

Other names 1

  • Susan A Hamre Former name

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

LicenseStateTypeSpecialty
1048019WIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1639337561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 MAPLE GROVE DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537195013",
            "telephone_number": "608-845-1000",
            "fax_number": "608-845-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 MAPLE GROVE DR",
            "address_2": "ST MARYS CARE CENTER",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537195013",
            "telephone_number": "608-845-1000",
            "fax_number": "608-845-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRE VELING",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1048019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HAMRE",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.