Susan Ann Dalaba, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

012889-1 Issued in NY

Practice address

8842 State Route 90 N
King Ferry, NY 13081-8717

Phone

(315) 364-7570

Fax

(315) 364-8016

NPI assigned

Jan 18, 2007

Last updated

Aug 22, 2011By the provider in NPPES

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

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.

• Fadden & Associates Physical Therapy PLLC

  • Physical Therapist
  • Cortland, NY
  • NPI 1871701177
  NPD (past)
• Mauro-Bertolo Therapy SVCS PTPC

  • Physical Therapist
  • Cicero, NY
  • NPI 1962494930
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1811049760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8842 STATE ROUTE 90 N",
            "city": "KING FERRY",
            "state": "NY",
            "postal_code": "130818717",
            "telephone_number": "315-364-7570",
            "fax_number": "315-364-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8842 STATE ROUTE 90 N",
            "city": "KING FERRY",
            "state": "NY",
            "postal_code": "130818717",
            "telephone_number": "315-364-7570",
            "fax_number": "315-364-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALABA",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "012889-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Bowerman, OTR/L
• Betsy Brown
• Elizabeth Crocitto, PT
• Bailey Crook, PT
• Kara Cunningham
• Anne Dalton, NP
• Dana E. Mandel PT
• Tamara Lynne Dawkins, PT
• Kristin Devita, CCC-SLP
• Deirdre Elaine Dickson, M.S. CCC-SLP

• Physical Therapist in King Ferry, NY
• Providers in King Ferry, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.