Individual provider Active NPI

Susan Elaine Venus, MPT

  • Physical Therapist
  • West Newton, MA
National Provider Identifier
1760131759
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22054 Issued in MA
Practice address
206 Waltham St
West Newton, MA 02465-1733
Phone
(617) 527-9267
Fax
(617) 467-6030
NPI assigned
Mar 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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 22054 MA Primary

Addresses

Primary practice location

206 Waltham St
West Newton, MA 02465-1733

Mailing address

36 Erie Ave
Newton, MA 02461-1514
Phone (609) 213-0254

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220411000660 MA Practitioner - Physical Therapist in Private Practice 4981090487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tim Dreher PT and Associates IncGroup PAC ID 1052208832, 2 clinicians

Practice addresses (Care Compare)

125 Adams St
Newton, MA 02458-1116
Phone (617) 527-9267

206 Waltham St
West Newton, MA 02465-1733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22054MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tim Dreher PT & Associates, Inc. Physical Therapist CurrentSince Jan 5, 2022 Accepting new patients

Locations

125 Adams St
Newton, MA 02458
Phone (617) 527-9267

125 Adams St
Ste 2
Newton, MA 02458

Organizations & group practices 1

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": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1760131759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ERIE AVE",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024611514",
            "telephone_number": "609-213-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 WALTHAM ST",
            "city": "WEST NEWTON",
            "state": "MA",
            "postal_code": "024651733",
            "telephone_number": "617-527-9267",
            "fax_number": "617-467-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENUS",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.