Individual provider Active NPI

Suffia Pauline Amable Llanes, PT

  • Physical Therapist
  • Hagerstown, MD
National Provider Identifier
1821810177
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29535 Issued in MD
Practice address
19737 Leitersburg Pike Ste B
Hagerstown, MD 21742-1508
Phone
(301) 714-0700
Fax
(301) 714-0703
NPI assigned
Oct 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP048385T PA
Physical Therapist 225100000X 29535 MD Primary
Physical Therapist 225100000X J1-0014574 DE

Addresses

Primary practice location

19737 Leitersburg Pike Ste B
Hagerstown, MD 21742-1508

Mailing address

511 Bull Run Rd
Taneytown, MD 21787-2659
Phone (470) 399-1772

Other practice location 1

18352 College Rd Unit 1
Hagerstown, MD 21740-1768
Phone (301) 880-3365

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
J1-0014574DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Rehab Inc Physical Therapist PastSince Jan 12, 2025 Accepting new patients

Organizations & group practices 1

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": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1821810177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 BULL RUN RD",
            "city": "TANEYTOWN",
            "state": "MD",
            "postal_code": "217872659",
            "telephone_number": "470-399-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19737 LEITERSBURG PIKE STE B",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217421508",
            "telephone_number": "301-714-0700",
            "fax_number": "301-714-0703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18352 College Rd Unit 1",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217401768",
            "country_code": "US",
            "telephone_number": "301-880-3365",
            "fax_number": "301-714-0703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LLANES",
        "first_name": "SUFFIA PAULINE",
        "middle_name": "AMABLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "CP048385T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29535",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; 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.