Susan Gammon, P.T.
Individual provider Active NPI Physical Therapist · Venice, FL
NPI 1841308707 · NPPES record last updated Apr 10, 2017
Key facts
- NPI
- 1841308707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT19997 (FL)
- Practice address
- 500 Rockley Blvd
Venice, FL 34293-4300 - Phone
- (561) 512-7068
- Fax
- (941) 451-2073
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- 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 PLLC
Practice addresses (Care Compare)
250 Venice Golf Club Dr
Venice, FL 34292-3146
Phone (734) 679-7133
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051014000137 | FL | Practitioner - Physical Therapist in Private Practice | 1557386927 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Country Club PT PA | Physical Therapist | Current |
Accepting new patients |
| 65 Plus LLC | Physical Therapist | Current |
Accepting new patients |
| RWW Senior Living Outpatient Rehab Services, LLC | Physical Therapist | Current |
Accepting new patients |
| James McErlain DC PA | Physical Therapist | Current |
Accepting new patients |
| S N J Simply Fit | Current |
Accepting new patients | |
| Scott Pummill Physical Therapy PLLC | Current |
Accepting new patients | |
| RWW Senior Living Outpatient Rehab Services, LLC | Physical Therapist | Current |
Accepting new patients |
| QRM Plus Florida LLC | Physical Therapist | Current |
Accepting new patients |
| On Site Physical Therapy LLC | Physical Therapist | Past |
Accepting new patients |
| Active Health Center, LLC | Past | Accepting new patients | |
| Jupiter Healthcare | Physical Therapist | Past |
Accepting new patients |
| Marc a. Weinberg, D.C., P.a. | 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
500 Rockley Blvd
Venice, FL 34293
Phone (561) 512-7068
547 US Highway 41 Byp N
Venice, FL 34285
Phone (941) 451-6691
250 Venice Golf Club Dr
Venice, FL 34292
Phone (517) 420-8266
350 W Venice Ave
#1946
Venice, FL 34285
13200 Eastpointe Way
West Palm Beach, FL 33418
670 Flushing Ave
Ste 307
Brooklyn, NY 11206
4949 Westgrove Dr
Dallas, TX 75248
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT19997 | FL | Yes |
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
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.