Individual provider Active NPI

Susan L Waranch, PT

  • Physical Therapist
  • Glen Burnie, MD
National Provider Identifier
1649320664
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14562 Issued in MD
Practice address
1600 Crain Hwy S Ste 401
Glen Burnie, MD 21061-6413
Phone
(410) 768-5050
Fax
(410) 768-7830
NPI assigned
Jan 11, 2007
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14562 MD Primary

Addresses

Primary practice location

1600 Crain Hwy S Ste 401
Glen Burnie, MD 21061-6413

Mailing address

1600 Crain Hwy S Ste 401
Glen Burnie, MD 21061-6413
Phone (410) 768-5050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Mar 9, 2022 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Mar 9, 2022 Accepting new patients
Gold Medal Physical Therapy LLC Physical Therapist PastSince Oct 1, 2002 Accepting new patients
Chesapeake Orthopaedic and Sports Medicine Center PA Past Accepting new patients
Chesapeake Orthopaedic & Sports Medicine Center Past Accepting new patients

Locations

1630 Main St
Ste 110
Chester, MD 21619
Phone (410) 604-2982

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

1600 Crain Hwy S
Ste 401
Glen Burnie, MD 21061
Phone (410) 768-5050

1600 Crain Hwy S
Ste 402
Glen Burnie, MD 21061
Phone (410) 590-0700

200 Hospital Dr
Ste 206
Glen Burnie, MD 21061
Phone (301) 768-5555

7556 Teague Rd
Ste 240
Hanover, MD 21076
Phone (410) 768-5555

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1649320664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S STE 401",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616413",
            "telephone_number": "410-768-5050",
            "fax_number": "410-768-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CRAIN HWY S STE 401",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210616413",
            "telephone_number": "410-768-5050",
            "fax_number": "410-768-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARANCH",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "14562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.