Individual provider Active NPI

Susan Gammon, P.T.

  • Physical Therapist
  • Venice, FL
National Provider Identifier
1841308707
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT19997 Issued in FL
Practice address
500 Rockley Blvd
Venice, FL 34293-4300
Phone
(561) 512-7068
Fax
(941) 451-2073
NPI assigned
Aug 29, 2006
Last updated
Apr 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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 PT19997 FL Primary

Addresses

Primary practice location

500 Rockley Blvd
Venice, FL 34293-4300

Mailing address

5085 N Beach Rd
Englewood, FL 34223-9032
Phone (561) 512-7068

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051014000137 FL Practitioner - Physical Therapist in Private Practice 1557386927 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott Pummill Physical Therapy PLLCGroup PAC ID 4183162043, 2 clinicians

Practice addresses (Care Compare)

250 Venice Golf Club Dr
Venice, FL 34292-3146
Phone (734) 679-7133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT19997FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Country Club PT PA Physical Therapist CurrentSince Nov 7, 2010 Accepting new patients
65 Plus LLC Physical Therapist CurrentSince Jan 1, 2016 Accepting new patients
Scott Pummill Physical Therapy PLLC CurrentSince Apr 9, 2025 Accepting new patients
James McErlain DC PA Physical Therapist CurrentSince Aug 18, 2013 Accepting new patients
RWW Senior Living Outpatient Rehab Services, LLC Physical Therapist CurrentSince Mar 2, 2026 Accepting new patients
S N J Simply Fit CurrentSince Jan 20, 2024 Accepting new patients
RWW Senior Living Outpatient Rehab Services, LLC Physical Therapist CurrentSince Mar 2, 2026 Accepting new patients
QRM Plus Florida LLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
On Site Physical Therapy LLC Physical Therapist PastSince Nov 27, 2011 Accepting new patients
Marc a. Weinberg, D.C., P.a. PastSince Feb 1, 2010 Accepting new patients
Jupiter Healthcare Physical Therapist PastSince Aug 18, 2013 Accepting new patients
Active Health Center, LLC Past Accepting new patients
Creative Wellness LLC Past Accepting new patients

Locations

125 W Indiantown Rd
Ste 105
Jupiter, FL 33458
Phone (561) 741-7575

513 US Highway 1
Ste 216
North Palm Beach, FL 33408
Phone (954) 655-8140

1978 S Tamiami Trl
Ste 6
Venice, FL 34293
Phone (941) 786-1118

250 Venice Golf Club Dr
Venice, FL 34292
Phone (517) 420-8266

350 W Venice Ave
#1946
Venice, FL 34285

500 Rockley Blvd
Venice, FL 34293
Phone (561) 512-7068

547 US Highway 41 Byp N
Venice, FL 34285
Phone (941) 451-6691

13200 Eastpointe Way
West Palm Beach, FL 33418

670 Flushing Ave
Ste 307
Brooklyn, NY 11206

4949 Westgrove Dr
Dallas, TX 75248

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1841308707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5085 N BEACH RD",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342239032",
            "telephone_number": "561-512-7068",
            "fax_number": "941-451-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ROCKLEY BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342934300",
            "telephone_number": "561-512-7068",
            "fax_number": "941-451-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMON",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT19997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.