Susanna Grace Motley

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305214589 Issued in VA

Practice address

173 Brockman Park Dr
Amherst, VA 24521-2583

Phone

(434) 946-2850

NPI assigned

Aug 17, 2021

Last updated

Aug 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fremont Therapy Group Limited PartnershipGroup PAC ID 4284042649, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fremont Therapy Group Limited Partnership

  • Physical Therapist
  • Riverton, WY
  • NPI 1487244042
  Medicare reassignment Care Compare group NPD
• Carbon County Therapy LLC

  • Physical Therapy Clinic/Center
  • Rawlins, WY
  • NPI 1457961252

  Physical Therapist

  Medicare reassignment NPD
• Fremont Therapy Group Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Green River, WY
  • NPI 1649165317
  NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1871269241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 SUNSET DR",
            "city": "AMHERST",
            "state": "VA",
            "postal_code": "245212527",
            "telephone_number": "434-841-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 BROCKMAN PARK DR",
            "city": "AMHERST",
            "state": "VA",
            "postal_code": "245212583",
            "telephone_number": "434-946-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTLEY",
        "first_name": "SUSANNA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marshall, LPC
• Justin Lewis Matherly, DPT, PT
• Sally Jo Mock, D.C., P.C.
• Jerelle Morse
• Katherine Moses
• Jaimi M Nelson, OTD
• Katherine Nuckols
• Jamie Overstreet, RN BSN
• Krystal Paige, LPN
• Elizabeth Blair Payne, RN, BA

• Physical Therapist in Amherst, VA
• Providers in Amherst, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.