Susan Sullivan Rauenbuehler, M.S.P.T.

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT26914 Issued in CA

Practice address

2945 Junipero Serra Blvd
Daly City, CA 94014-2549

Phone

(650) 755-8830

Fax

(650) 755-8147

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Susan Ann Sullivan Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

P.S.M.R.C., LLCGroup PAC ID 0446495741, 4 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• P.S.M.R.C., LLC

  dba Peninsula Sports Medicine and Rehabilitation Center

  • Physical Therapist
  • Daly City, CA
  • NPI 1871666974
  Medicare reassignment Care Compare group NPD Authorized official
• Peninsula Hand Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Daly City, CA
  • NPI 1750409561
  NPD

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1821032806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 JUNIPERO SERRA BLVD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142549",
            "telephone_number": "650-755-8830",
            "fax_number": "650-755-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 JUNIPERO SERRA BLVD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142549",
            "telephone_number": "650-755-8830",
            "fax_number": "650-755-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUENBUEHLER",
        "first_name": "SUSAN",
        "middle_name": "SULLIVAN",
        "name_prefix": "Ms.",
        "credential": "M.S.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "P.T. 26914",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT26914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "SULLIVAN",
            "middle_name": "ANN",
            "credential": "M.S.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Ramirez-Miranda
• James Anthony Ramirez
• Ruth Reyes Ramos, NP-C
• Randy M. Yamada, O.D. (Westlake Vision Center Optometry)
• Sandhya Rangarajan, MD
• Raymond Dugan Velasco MD, Inc.
• Raymond Jone DDS Professional Corporation
• Re:Health
• Anuradha Yerram Reddy, M.D.
• Sarah Ree, FNP-C

• Orthopedic Physical Therapist in Daly City, CA
• Providers in Daly City, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.