Individual provider Active NPI

Susan Rebecca Sentell, PT

  • Physical Therapist
  • Columbus, NC
National Provider Identifier
1770609141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2099 Issued in NC
Practice address
619 Laurel Lake Dr
Columbus, NC 28722-7451
Phone
(828) 894-3895
Fax
(828) 894-3709
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2099 NC Primary
Physical Therapist 225100000X 668 SC

Addresses

Primary practice location

619 Laurel Lake Dr
Columbus, NC 28722-7451

Mailing address

240 Hulon Howard Rd
Landrum, SC 29356-9091
Phone (864) 457-5147

Other identifiers 1

IdentifierTypeStateIssuer
079MFOtherNCBCBS OF NC INSURANCE PROV

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

LicenseStateTypeSpecialty
2099NCMDSpeech-Language Pathologist
668SCMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770609141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HULON HOWARD RD",
            "city": "LANDRUM",
            "state": "SC",
            "postal_code": "293569091",
            "telephone_number": "864-457-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 LAUREL LAKE DR",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287227451",
            "telephone_number": "828-894-3895",
            "fax_number": "828-894-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENTELL",
        "first_name": "SUSAN",
        "middle_name": "REBECCA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2099",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "668",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC INSURANCE PROV",
            "identifier": "079MF",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NC

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.