Susan Ann Taddonio, DPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

013825-1 Issued in NY

Practice address

1 E Gate Rd
Lloyd Harbor, NY 11743-1606

Phone

(631) 427-1942

Fax

(631) 427-1942

NPI assigned

Jan 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  NPD
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  • NPI 1407023575
  NPD (past)

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790831022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E GATE RD",
            "city": "LLOYD HARBOR",
            "state": "NY",
            "postal_code": "117431606",
            "telephone_number": "631-427-1942",
            "fax_number": "631-427-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E GATE RD",
            "city": "LLOYD HARBOR",
            "state": "NY",
            "postal_code": "117431606",
            "telephone_number": "631-427-1942",
            "fax_number": "631-427-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADDONIO",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "013825-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paris Michele Pappas, RPA-C
• Shanna Richey
• Randi Robbins
• Nicole Grae Rossi, LCSW
• Andrea C Streater, FNP-BC
• Wei-Qian Wang

• Specialist in Lloyd Harbor, NY
• Providers in Lloyd Harbor, NY by specialty
• Specialist in New York

• 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.