Individual provider Active NPI

Susan Lynn Morrison-Grussling

  • Physical Therapist
  • Spokane Valley, WA
National Provider Identifier
1720330988
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00002628 Issued in WA
Practice address
12325 E Grace Ave
Spokane Valley, WA 99216-1151
Phone
(509) 927-3200
NPI assigned
Oct 11, 2012
Last updated
Oct 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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 PT00002628 WA Primary

Addresses

Primary practice location

12325 E Grace Ave
Spokane Valley, WA 99216-1151

Mailing address

12325 E Grace Ave
Spokane Valley, WA 99216-1151
Phone (509) 927-3200

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

LicenseStateTypeSpecialty
PT00002628WAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1720330988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12325 E GRACE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161151",
            "telephone_number": "509-927-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12325 E GRACE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161151",
            "telephone_number": "509-927-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON-GRUSSLING",
        "first_name": "SUSAN",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.