Susan Breu, PTA

Key facts

NPI

1669725560

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapy Assistant 225200000X

License

P160039683 (WA)

Practice address

1202 Wood Ave
Sumner, WA 98390-1926

Phone

(253) 891-6000

Fax

(253) 891-6099

NPI assigned

Oct 17, 2012

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 17, 2012.

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1669725560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 WOOD AVE",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901926",
            "telephone_number": "253-891-6000",
            "fax_number": "253-891-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 WOOD AVE",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983901926",
            "telephone_number": "253-891-6000",
            "fax_number": "253-891-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREU",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160039683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumner, WA

• Carmen Blankenship, PT
• Ryan L Bohlman, RN
• Kristina Bondar, DPT
• Boyd E. Bowman
• Kathryn Jo Bratvold, LMP
• Suzanne Britanyak, P.T.
• Yvonne M Bryght, MA, LMHC
• Kourtney Nichole Buckner
• Gloria D Bullo
• Gayle Butcher, COTA/L

All providers in Sumner, WA · Physical Therapy Assistant in Washington