Susan Theresa Wardrop, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

13215 Issued in FL

Practice address

2000 Principal LN
Fort Walton Beach, FL 32547-6636

Phone

(850) 362-6495

Fax

(850) 362-6511

NPI assigned

Nov 30, 2010

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1821390642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PRINCIPAL LN",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476636",
            "telephone_number": "850-362-6495",
            "fax_number": "850-362-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PRINCIPAL LN",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476636",
            "telephone_number": "850-362-6495",
            "fax_number": "850-362-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDROP",
        "first_name": "SUSAN",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "13215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bin Wang
• Yuan Wang, MD
• Angela S Wanless
• Burt William Ward, MD
• Francisca Marquita Ward, M.D.
• Amanda Marie Warfield, OTR/L
• Pamela James Warner, D.O.
• Audrey Warwick
• Amber Waters, PHARM D
• Delicia Watkins, RN

• Physical Therapy Assistant in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.