Individual provider Active NPI

Susan Marie Sacher, PT

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1730453945
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16776 Issued in CA
Practice address
15292 Normandie Ave
Irvine, CA 92604-2935
Phone
(949) 468-6999
Fax
(949) 419-6284
NPI assigned
Mar 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 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 16776 CA Primary

Addresses

Primary practice location

15292 Normandie Ave
Irvine, CA 92604-2935

Mailing address

15292 Normandie Ave
Irvine, CA 92604-2935
Phone (949) 468-6999

Other names 1

  • Miss Susan Marie Bankwitz Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140610000391 CA Practitioner - Physical Therapist in Private Practice 6709000920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4950 Barranca Pkwy
Suite 302
Irvine, CA 92604-4631
Phone (949) 346-1486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16776CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist CurrentSince Jun 1, 2024 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince May 18, 2023 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Past Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

1640 Newport Blvd
Ste 260
Costa Mesa, CA 92627
Phone (949) 335-7967

18785 Brookhurst St
Ste 104
Fountain Valley, CA 92708
Phone (657) 301-4967

36 Mauchly
Ste A
Irvine, CA 92618
Phone (949) 374-3315

4950 Barranca Pkwy
Ste 302
Irvine, CA 92604
Phone (949) 346-1486

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

26302 La Paz Rd
Ste 105
Mission Viejo, CA 92691
Phone (949) 206-1700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1730453945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15292 NORMANDIE AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042935",
            "telephone_number": "949-468-6999",
            "fax_number": "949-419-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15292 NORMANDIE AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042935",
            "telephone_number": "949-468-6999",
            "fax_number": "949-419-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHER",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "16776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BANKWITZ",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.