Susan Van Hise, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 26134 Issued in CA

Practice address

3490 20TH St
First Floor
San Francisco, CA 94110-2582

Phone

(415) 824-4228

NPI assigned

Jan 30, 2009

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mvjbp Physical Therapy CorporationGroup PAC ID 5799022208, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mvjbp Physical Therapy Corporation

  • Physical Therapist
  • Corte Madera, CA
  • NPI 1417434705
  Medicare reassignment Care Compare group NPD
• Mission District Physical Therapy & Rehabilitation, Inc

  • Physical Therapist
  • San Francisco, CA
  • NPI 1659403699
  NPD (past)

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1801034665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 WASHINGTON PARK AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411751",
            "telephone_number": "415-388-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 20TH ST",
            "address_2": "FIRST FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102582",
            "telephone_number": "415-824-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HISE",
        "first_name": "SUSAN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 26134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Lester Van Hagen, PH.D
• Enya Van Ham
• Austin Van Haren, MD
• Juliette Davis Van Heerden, MD
• Christina Marie Van Hilst, FNP-BC
• Eva Van Horn
• Margeaux Lynn Van Horn
• Jane M Van Hoven
• Ann Van Karsen
• Mary Van Nes

• Physical Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; 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.