Active NPI
Susan Kaku, PT
- Physical Therapist
- Peachtree City, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010830
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WA
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1154313 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
| Cascade Rehabilitation Associates, PLLC | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Therapy Management Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Summit Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Summit Rehabilitation PLLC | Physical Therapist | Current | Accepting new patients |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Therapy Management Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Highline Physical Therapy Group | Physical Therapist | Current | Accepting new patients |
| Highline Physical Therapy Group | Physical Therapist | Current | Accepting new patients |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Atlanta Knee and Shoulder Clinic PC | Current | 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.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Physical Therapist
- Bellevue, WA
- NPI 1710330378
-
- Specialist
- Stockbridge, GA
- NPI 1538296678
-
dba Cascade Rehabilitation
- Occupational Therapist
- Everett, WA
- NPI 1245361617
Physical Therapist
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
dba Highline Therapy Services
- Physical Therapist
- Burien, WA
- NPI 1477797991
-
dba Summit Rehab
- Multi-Specialty Clinic/Center
- Lake Stevens, WA
- NPI 1558492934
Physical Therapist
-
- Physical Therapist
- Mukilteo, WA
- NPI 1770359010
-
dba GHCH Hoquiam Clinic
- Rural Health Clinic/Center
- Hoquiam, WA
- NPI 1376028373
-
- Physical Therapist
- Bonney Lake, WA
- NPI 1255147336
-
dba MultiCare Rockwood Imaging
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1285121442
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.