Individual provider Active NPI

Susan Denise Brownridge, D.P.T.

  • Physical Therapist
  • Kentfield, CA
National Provider Identifier
1689760324
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 24542 Issued in CA
Practice address
43 Kent Ave
Kentfield, CA 94904-2521
Phone
(415) 990-6223
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 24542CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Presidio Sport & Medicine, Inc. Physical Therapist PastSince May 4, 2002 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 24542 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

43 Kent Ave
Kentfield, CA 94904-2521

Mailing address

43 Kent Ave
Kentfield, CA 94904-2521
Phone (415) 990-6223

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 19, 2024.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1689760324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 KENT AVE",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949042521",
            "telephone_number": "415-990-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 KENT AVE",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949042521",
            "telephone_number": "415-990-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWNRIDGE",
        "first_name": "SUSAN",
        "middle_name": "DENISE",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 24542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.