Susan E Garrettson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT933 Issued in ME

Practice address

64 E Main St
Suite G
Dover Foxcroft, ME 04426-1398

Phone

(207) 564-0406

Fax

(207) 564-0405

NPI assigned

May 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Options in Therapy

  • Occupational Therapist
  • Dover-Foxcroft, ME
  • NPI 1023342185

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1679740732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 324",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044260324",
            "telephone_number": "207-564-0406",
            "fax_number": "207-564-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 E MAIN ST",
            "address_2": "SUITE G",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261398",
            "telephone_number": "207-564-0406",
            "fax_number": "207-564-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETTSON",
        "first_name": "SUSAN",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "308590099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Ann Fowles, RDH
• Foxcroft Pharmacy, LLC
• Foxcroft Pharmacy, LLC
• David P Frasz, MD
• Tabetha Leanne Ganzel, OD
• Susan E. Geetersloh, FNP
• Judith Ann Gilbert, RN
• Kristen Fowles Goddard, CADC
• Whitney Gould-Cookson, MS, RD, LD
• Matthew Ryan Grant

• Physical Therapist in Dover Foxcroft, ME
• Providers in Dover Foxcroft, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.