Active NPI
Peja Phyllis Schussler, PT
- Physical Therapist
- Friday Harbor, WA
National Provider Identifier
1861417768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00007439
- Practice address
- 849 Spring St
Friday Harbor, WA 98250-9376 - Phone
- (360) 370-5226
- Fax
- (360) 370-5559
- NPI assigned
- Jul 12, 2006
- Last updated
- May 20, 2008
- 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 | PT00007439 | WA | Primary |
Addresses
Primary practice location
849 Spring St
Friday Harbor, WA 98250-9376
Mailing address
849 Spring St
Friday Harbor, WA 98250-9376
Phone (360) 370-5226
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7924SC | Other | WA | REGENCE |
| 8399859 | Medicaid | WA | |
| 7049585 | Other | WA | AETNA |
| 616766001 | Other | VA | GROUP HEALTH |
| 0187184 | Other | VA | L&I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Islanders Physical Therapy and Rehabilitation, Inc. | Past | Accepting new patients | |
| Friday Harbor Physical Therapy and Rehabilitation, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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 Therapist
- Friday Harbor, WA
- NPI 1881639250
-
- Rehabilitation Clinic/Center
- Friday Harbor, WA
- NPI 1437334810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1861417768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "849 SPRING ST",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982509376",
"telephone_number": "360-370-5226",
"fax_number": "360-370-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 SPRING ST",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982509376",
"telephone_number": "360-370-5226",
"fax_number": "360-370-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUSSLER",
"first_name": "PEJA",
"middle_name": "PHYLLIS",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00007439",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "7924SC",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8399859",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7049585",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH",
"identifier": "616766001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0187184",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Friday Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.