Individual provider Active NPI

Susan Geisler

  • Physical Therapist
  • Chestnut Hill, MA
National Provider Identifier
1821064908
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008456-1 Issued in NY
Practice address
830 Boylston St Ste 208
Chestnut Hill, MA 02467-2519
Phone
(617) 754-5376
Fax
(617) 754-5578
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 008456-1 NY Primary

Addresses

Primary practice location

830 Boylston St Ste 208
Chestnut Hill, MA 02467-2519

Mailing address

566 Heath St Apt 2
Chestnut Hill, MA 02467-2244
Phone (607) 351-5371

Other practice location 1

Cornell University Health Services
Ho Plaza
Ithaca, NY 14853-3101
Phone (607) 255-6956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909000721 MA Practitioner - Physical Therapist in Private Practice 6800801556 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008456-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dufer LLC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients
President & Fellows of Harvard College Current Accepting new patients
President and Fellows of Harvard College CurrentSince Sep 5, 2023 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Jul 8, 2022 Accepting new patients
Sports Specialty & Rehabilitation Center Inc Physical Therapist Past Accepting new patients

Locations

25 Drydock Ave
Boston, MA 02210
Phone (617) 266-0323

101 Arch St
Fl 8
Boston, MA 02110
Phone (212) 287-4257

188 Longwood Ave
Boston, MA 02115
Phone (617) 432-1434

235 Cypress St
Ste 110
Brookline, MA 02445
Phone (617) 860-6430

75 Mount Auburn St
Cambridge, MA 02138
Phone (617) 495-2042

75 Mount Auburn St
#H
Cambridge, MA 02138
Phone (617) 495-4414

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1821064908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 HEATH ST APT 2",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672244",
            "telephone_number": "607-351-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BOYLSTON ST STE 208",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672519",
            "telephone_number": "617-754-5376",
            "fax_number": "617-754-5578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cornell University Health Services",
            "address_2": "Ho Plaza",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148533101",
            "country_code": "US",
            "telephone_number": "607-255-6956",
            "fax_number": "607-254-3503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEISLER",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2023-08-04",
        "certification_date": "2023-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "008456-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Hill, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.