Individual provider Active NPI

Suzanne Sallus

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1720456841
Registry record updated Sep 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9150 Issued in AZ
Practice address
14214 E Lone Mountain Rd
Scottsdale, AZ 85262-5506
Phone
(805) 796-6667
NPI assigned
Sep 5, 2015
Last updated
Sep 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2015

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 9150 AZ Primary

Addresses

Primary practice location

14214 E Lone Mountain Rd
Scottsdale, AZ 85262-5506

Mailing address

14214 E Lone Mountain Rd
Scottsdale, AZ 85262-5506
Phone (805) 796-6667

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

NPI Registry JSON

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

{
    "created_epoch": "1441411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441411200000",
    "number": "1720456841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14214 E LONE MOUNTAIN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852625506",
            "telephone_number": "805-796-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14214 E LONE MOUNTAIN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852625506",
            "telephone_number": "805-796-6667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLUS",
        "first_name": "SUZANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-05",
        "last_updated": "2015-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.