Individual provider Active NPI

Susan Stambush, PT

  • Physical Therapist
  • Sugar Land, TX
National Provider Identifier
1740315902
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1043313 Issued in TX
Practice address
3518 Orchard Mews Dr
Sugar Land, TX 77478-7436
Phone
(713) 334-1818
Fax
(832) 565-9000
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1043313 TX Primary

Addresses

Primary practice location

3518 Orchard Mews Dr
Sugar Land, TX 77478-7436

Mailing address

3518 Orchard Mews Dr
Sugar Land, TX 77478-7436
Phone (713) 334-1818

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740315902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 ORCHARD MEWS DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774787436",
            "telephone_number": "713-334-1818",
            "fax_number": "832-565-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 ORCHARD MEWS DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774787436",
            "telephone_number": "713-334-1818",
            "fax_number": "832-565-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMBUSH",
        "first_name": "SUSAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1043313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.