Individual provider Active NPI

Susanne Elizabeth McKenna, PT

  • Physical Therapist
  • Easton, PA
National Provider Identifier
1710138276
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002016E Issued in PA
Practice address
2600 Northampton St
Easton, PA 18045-2656
Phone
(610) 250-0150
NPI assigned
Oct 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT002016E PA Primary

Addresses

Primary practice location

2600 Northampton St
Easton, PA 18045-2656

Mailing address

305 Beaver Run Dr
Nazareth, PA 18064-8743
Phone (610) 746-3439

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
PT002016EPAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Hospital CurrentSince Oct 1, 2017 Accepting new patients
Lehigh Valley Hospital Physical Therapist CurrentSince Oct 1, 2017 Accepting new patients

Locations

2901 Emrick Blvd
Ste 103
Bethlehem, PA 18020
Phone (610) 625-2169

700 Hawk Ridge Dr
Hamburg, PA 19526
Phone (610) 562-0170

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1710138276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BEAVER RUN DR",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648743",
            "telephone_number": "610-746-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NORTHAMPTON ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452656",
            "telephone_number": "610-250-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "SUSANNE",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT002016E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.