Active NPI
Susan Rebecca Sentell, PT
- Physical Therapist
- Columbus, NC
National Provider Identifier
1770609141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2099
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079MF | Other | NC | BCBS 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2099 | NC | MD | Speech-Language Pathologist |
| 668 | SC | MD | Physician 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.