Susan Cestaro-Smith, P.T.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

8487PT Issued in AZ

Practice address

5121 E Broadway Rd
Mesa, AZ 85206-1308

Phone

(480) 832-5555

NPI assigned

Jun 17, 2009

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1780811679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5156 WHITETHORN AVE",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704311",
            "telephone_number": "440-315-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 E BROADWAY RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061308",
            "telephone_number": "480-832-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESTARO-SMITH",
        "first_name": "SUSAN",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "8487PT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.