Susan Kelvasa, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00292900 Issued in NJ

Practice address

2501 Kuser Rd Ste 3
Hamilton, NJ 08691

Phone

(609) 896-0444

Fax

(609) 896-1126

NPI assigned

Nov 22, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1689749699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 KUSER RD STE 3",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086913386",
            "telephone_number": "609-896-0444",
            "fax_number": "609-896-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 KUSER RD STE 3",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08691",
            "telephone_number": "609-896-0444",
            "fax_number": "609-896-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELVASA",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00292900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.kelvasa@mbortho.directbygreenway.com",
            "affiliation": "N",
            "address_1": "2501 Kuser Rd Ste 3",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keith J. Alexander, PH.D., P.C.
• Bernard D Kelberg, D.O.
• Sarah Kathryn Kelleher, OTR/L
• Ashley Kelly, LCSW
• Michael Joseph Kelly, CADC-I
• Mary Ann Kennedy, LCSW
• Victoria Kerr
• Kevin Mosmen Enterprises, LLC
• KG Nutrition LLC
• Khalaf Rabadi, M.D., P.C.

• Physical Therapist in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.