Daisy Eva Su, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1329550 Issued in TX

Practice address

4100 N Sam Houston Pkwy W Ste 240
Houston, TX 77086-1466

Phone

(832) 968-7155

NPI assigned

Sep 24, 2020

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Enrollment records 1

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 and National Provider Directory roles.

• Select Physical Therapy Texas Limited Partnership

  • Physical Therapy Clinic/Center
  • Tomball, TX
  • NPI 1770254179

  Physical Therapist, TX

  Medicare reassignment NPD
• Daisy Dance Performance & Rehab PLLC

  • Physical Therapist
  • Houston, TX
  • NPI 1235012907
  NPD Authorized official
• Select Physical Therapy Texas Limited Partnership

  • Rehabilitation Clinic/Center
  • Cedar Park, TX
  • NPI 1083677033
  NPD
• TCG Home Health LLC

  • Rehabilitation Clinic/Center
  • Houston, TX
  • NPI 1902228604
  NPD (past)

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1831706837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 N SAM HOUSTON PKWY W STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770861466",
            "telephone_number": "832-968-7155",
            "fax_number": "713-383-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 N SAM HOUSTON PKWY W STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770861466",
            "telephone_number": "832-968-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU",
        "first_name": "DAISY",
        "middle_name": "EVA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1329550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• STX Molecular Laboratories
• Reagan Styrt, PA-C
• Alex M Su, MD
• Annie Ray Su, M.D.
• Chang Su, MD/PHD
• Di Su, M.D.
• Erik R Su, MD
• Henry Y Su, M.D.
• Hua Su, NP
• Jack M Su, MD

• All providers in Houston, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.