Active NPI
Susan Gammon, P.T.
- Physical Therapist
- Venice, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT19997
- 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, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT19997 | FL | MD | Physical Therapist |
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 |
| Scott Pummill Physical Therapy PLLC | Current | Accepting new patients | |
| James McErlain DC PA | Physical Therapist | Current | Accepting new patients |
| RWW Senior Living Outpatient Rehab Services, LLC | Physical Therapist | Current | Accepting new patients |
| S N J Simply Fit | 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 |
| Marc a. Weinberg, D.C., P.a. | Past | Accepting new patients | |
| Jupiter Healthcare | Physical Therapist | Past | 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.
-
- Physical Therapy Clinic/Center
- Venice, FL
- NPI 1235991803
-
dba 65 Plus Physical Therapy - Country Club Physical Therapy
- Geriatric Physical Therapist
- Venice, FL
- NPI 1205292489
-
dba Jupiter Healthcare
- Chiropractor
- Jupiter, FL
- NPI 1578754248
Physical Therapist
-
dba Adoration Outpatient Therapy
- Physical Therapist
- Saint Johns, FL
- NPI 1811735996
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Venice, FL
- NPI 1760189583
-
- Physical Therapist
- West Palm Beach, FL
- NPI 1174830202
-
- Physical Therapist
- Sarasota, FL
- NPI 1619833803
-
- General Practice Physician
- North Palm Beach, FL
- NPI 1790283604
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.