Individual provider Active NPI

Susan Ellen Hosmer, PT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1720358583
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17533 Issued in FL
Practice address
5263 Golden Gate Pkwy
Suite E
Naples, FL 34116-7601
Phone
(239) 352-9884
Fax
(239) 352-8610
NPI assigned
Jan 10, 2012
Last updated
Jan 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 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 PT17533 FL Primary

Addresses

Primary practice location

5263 Golden Gate Pkwy
Suite E
Naples, FL 34116-7601

Mailing address

5263 Golden Gate Pkwy
Suite E
Naples, FL 34116-7601
Phone (239) 352-9884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000686 FL Practitioner - Physical Therapist in Private Practice 3779741699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayonne Physical Therapy IncGroup PAC ID 1951383702, 13 clinicians

Practice addresses (Care Compare)

5263 Golden Gate Pkwy
Suite E
Naples, FL 34116-7601
Phone (239) 352-9884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT17533FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayonne Physical Therapy Inc Physical Therapist CurrentSince Feb 2, 2024 Accepting new patients
Bonita Springs Sports & Physical Therapy Center Inc Physical Therapist PastSince Oct 6, 2010 Accepting new patients
Bayonne Physical Therapy Inc Physical Therapist Past Accepting new patients
Bayonne Physical Therapy Inc Physical Therapist PastSince Feb 2, 2024 Accepting new patients

Locations

15205 Collier Blvd
Ste 108
Naples, FL 34119
Phone (239) 643-0222

3906 Tamiami Trl E
Ste A
Naples, FL 34112
Phone (941) 530-0201

5263 Golden Gate Pkwy
Ste E
Naples, FL 34116
Phone (239) 352-9884

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1326153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1720358583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5263 GOLDEN GATE PKWY",
            "address_2": "SUITE E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167601",
            "telephone_number": "239-352-9884",
            "fax_number": "239-352-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5263 GOLDEN GATE PKWY",
            "address_2": "SUITE E",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167601",
            "telephone_number": "239-352-9884",
            "fax_number": "239-352-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSMER",
        "first_name": "SUSAN",
        "middle_name": "ELLEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT17533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.