Active NPI
Suzanne P McDonough, PT
- Pediatric Physical Therapist
- Hinckley, OH
National Provider Identifier
1720537889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 7361
- Practice address
- 95 Valley Brook Blvd
Hinckley, OH 44233-9615 - Phone
- (330) 273-8406
- NPI assigned
- Sep 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 7361 | OH | Primary |
Addresses
Primary practice location
95 Valley Brook Blvd
Hinckley, OH 44233-9615
Mailing address
95 Valley Brook Blvd
Hinckley, OH 44233-9615
Phone (330) 273-8406
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 |
|---|---|---|---|
| 7361 | OH | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1720537889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 VALLEY BROOK BLVD",
"city": "HINCKLEY",
"state": "OH",
"postal_code": "442339615",
"telephone_number": "330-273-8406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 VALLEY BROOK BLVD",
"city": "HINCKLEY",
"state": "OH",
"postal_code": "442339615",
"telephone_number": "330-273-8406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONOUGH",
"first_name": "SUZANNE",
"middle_name": "P",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-29",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "OH",
"license": "7361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hinckley, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.