Susan Franklin Cecilio, PT
Individual provider Active NPI Orthopedic Physical Therapist · Gloucester, MA
NPI 1851995989 · NPPES record last updated Feb 1, 2021
Key facts
- NPI
- 1851995989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 9080-AH-PT (MA)
- Practice address
- 7 Gloucester Crossing Road
Gloucester, MA 01930 - Phone
- (978) 816-2671
- NPI assigned
- Nov 30, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060418000374 | MA | Practitioner - Physical Therapist in Private Practice | 1052320108 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9080-AH-PT | MA | MD | Orthopedic Physical Therapist |
| 9080 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Lahey Health Specialty Care, Inc. | Current |
Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
7 Gloucester Crossing Rd
Gloucester, MA 01930
Phone (978) 529-2525
298 Washington St
Gloucester, MA 01930
Phone (978) 283-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 9080-AH-PT | MA | Yes |
Addresses
Primary practice location
7 Gloucester Crossing Road
Gloucester, MA 01930
Mailing address
7 Gloucester Crossing Road
Gloucester, MA 01930
Phone (978) 816-2671
Other practice location 1
298 Washington St
Gloucester, MA 01930-4889
Phone (978) 381-7141
Other providers in Gloucester, MA
- Amanda Carlos
- Mary Carpenter
- Erica Jay Carroll
- Jazzlyn Mae Casula
- Barbara E Cavanaugh
- Judith Ceglarski
- Nathalie Marie-Carmen Celestin
- Mary C Chao
- Jonathan Chapin
- Kyle Avery Chear
All providers in Gloucester, MA · Orthopedic Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2021. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.