Active NPI
Susan K. Clouser, P.T
- Physical Therapist
- Bellefonte, PA
National Provider Identifier
1699872069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006230L
- Practice address
- 232 Match Factory Place
Bellefonte, PA 16823 - Phone
- (814) 355-3561
- Fax
- (814) 353-8235
- NPI assigned
- Sep 20, 2006
- Last updated
- Jan 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT006230L | PA | Primary |
Addresses
Primary practice location
232 Match Factory Place
Bellefonte, PA 16823
Mailing address
430 Innovation Drive
Blairsville, PA 15717-8096
Phone (724) 343-4060
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CL1835175 | Other | PA | HIGHMARK BLUE SHIELD |
| 50058333 | Other | PA | CAPITAL/KHPC |
| 426389 | Other | PA | HEALTH AMER/HEALTH ASSUR. |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006230L | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Rehabilitation and Health Services, Inc. | Physical Therapist | Past | Accepting new patients |
| Phoenix Rehabilitation and Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
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- NPI 1720084155
-
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- Blairsville, PA
- NPI 1972604783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421107200000",
"number": "1699872069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 INNOVATION DRIVE",
"city": "BLAIRSVILLE",
"state": "PA",
"postal_code": "157178096",
"telephone_number": "724-343-4060",
"fax_number": "724-343-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 MATCH FACTORY PLACE",
"city": "BELLEFONTE",
"state": "PA",
"postal_code": "16823",
"telephone_number": "814-355-3561",
"fax_number": "814-353-8235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOUSER",
"first_name": "SUSAN",
"middle_name": "K.",
"credential": "P.T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2015-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT006230L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "CL1835175",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL/KHPC",
"identifier": "50058333",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMER/HEALTH ASSUR.",
"identifier": "426389",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellefonte, PA
- Centre Crest
- Centre Crest Pharmacy
- Centre Marriage and Relational Therapy, LLC
- Centre Medical and Surgical Associates, P.C.
- Centre Medical and Surgical Associates, P.C.
- Teresa Fernandes Collins, M.ED.
- Roberta Cooke, HIS
- County of Centre (Centre County BSU)
- Susan C Covey, O.D.
- John Paul Coxey, CRNP, DNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.