Individual provider Active NPI

Susan Kaku, PT

  • Physical Therapist
  • Peachtree City, GA
National Provider Identifier
1639368087
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010830 Issued in GA
Practice address
277 Highway 74 N Ste 203
Peachtree City, GA 30269-1571
Phone
(678) 364-0337
Fax
(678) 364-0858
NPI assigned
Oct 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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 1154313 TX
Physical Therapist 225100000X PT010830 GA Primary

Addresses

Primary practice location

277 Highway 74 N Ste 203
Peachtree City, GA 30269-1571

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121226000353 GA Practitioner - Physical Therapist in Private Practice 7517147317 Reassigns benefits to 1 organization
I20200109002666 WA Practitioner - Physical Therapist in Private Practice 7517147317 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians
Therapy Management Services PLLCGroup PAC ID 0143500983, 107 clinicians

Practice addresses (Care Compare)

1423 E Main
Puyallup, WA 98372-3138
Phone (253) 697-2340

275 SW 160TH St
Suite 105
Burien, WA 98166-3003
Phone (206) 513-2155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1154313TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Aug 20, 2021 Accepting new patients
Cascade Rehabilitation Associates, PLLC Physical Therapist CurrentSince Aug 20, 2021 Accepting new patients
Multicare Health System CurrentSince Sep 28, 2023 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Mar 2, 2026 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Aug 20, 2021 Accepting new patients
Summit Rehabilitation PLLC Physical Therapist CurrentSince Aug 20, 2021 Accepting new patients
Grays Harbor Community Hospital CurrentSince Dec 13, 2019 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Mar 2, 2026 Accepting new patients
Multicare Health System CurrentSince Sep 28, 2023 Accepting new patients
Grays Harbor Community Hospital CurrentSince Dec 13, 2019 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Aug 20, 2021 Accepting new patients
Highline Physical Therapy Group Physical Therapist CurrentSince Aug 20, 2021 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Multicare Health System Current Accepting new patients
Atlanta Knee and Shoulder Clinic PC CurrentSince Jul 1, 2013 Accepting new patients
High Performance Physical Therapy Centers Physical Therapist Past Accepting new patients

Locations

3200 Downwood Cir NW
Ste 410
Atlanta, GA 30327
Phone (404) 352-4779

1035 Southcrest Dr
Ste 100
Stockbridge, GA 30281
Phone (770) 389-9000

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

1006 N H St
Aberdeen, WA 98520
Phone (360) 537-6032

275 SW 160th St
Ste 105
Burien, WA 98166
Phone (206) 244-4263

16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400

10511 19th Ave SE
Ste B
Everett, WA 98208
Phone (425) 357-8885

1010 S 336th St
Ste 112
Federal Way, WA 98003
Phone (253) 661-0041

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

9514 4th St NE
Unit 101
Lake Stevens, WA 98258
Phone (425) 397-2327

15906 Mill Creek Blvd
Ste 106
Mill Creek, WA 98012
Phone (425) 332-1030

12121 Harbour Reach Dr
Ste 100
Mukilteo, WA 98275
Phone (425) 354-5110

1423 E Main
Puyallup, WA 98372
Phone (253) 697-2340

231 Avenue D
Snohomish, WA 98290
Phone (360) 563-1020

13050 Military Rd S
Tukwila, WA 98168
Phone (206) 248-3080

Organizations & group practices 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1639368087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 HIGHWAY 74 N STE 203",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691571",
            "telephone_number": "678-364-0337",
            "fax_number": "678-364-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKU",
        "first_name": "SUSAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1154313",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.