Susan Ann Sparks-Cahill, PTA DEJ2-0000877

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

J2-0000877 Issued in DE

Practice address

10 Fairfield Ave
Pennsville, NJ 08070-1606

Phone

(856) 275-6715

NPI assigned

May 9, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1750071197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FAIRFIELD AVE",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701606",
            "telephone_number": "856-275-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FAIRFIELD AVE",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701606",
            "telephone_number": "856-275-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS-CAHILL",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "credential": "PTA DEJ2-0000877",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "DE",
            "license": "J2-0000877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Scarpa, BSRD
• Daniel Earl Shufler, MD
• Kristin Lawrence Shute, CCC-SLP
• Katherine Celeste Soltanuk
• Gina M Sparacio, MS, LAC, LCADC, CCS,
• Spintrach Pharmacy Inc
• Super Fresh Food Markets Inc
• James J. Susack Jr., D.M.D., PC
• The Salem County Center for Autism
• Theresa C. Fleming, O.D., P.C.

• Pediatric Physical Therapist in Pennsville, NJ
• Providers in Pennsville, NJ by specialty
• Pediatric Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.