Active NPI
Susan Bray, MS, PT
- Physical Therapist
- Trabuco Canyon, CA
National Provider Identifier
1891157020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18419
- Practice address
- 19691 Highridge Way
Trabuco Canyon, CA 92679-1638 - Phone
- (714) 401-9150
- NPI assigned
- Mar 26, 2016
- 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 | 18419 | CA | Primary |
Addresses
Primary practice location
19691 Highridge Way
Trabuco Canyon, CA 92679-1638
Mailing address
26741 Portola Pkwy
Suite 1E #494
Foothill Ranch, CA 92610-1743
Phone (714) 401-9150
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18419 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458950400000",
"number": "1891157020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26741 PORTOLA PKWY",
"address_2": "SUITE 1E #494",
"city": "FOOTHILL RANCH",
"state": "CA",
"postal_code": "926101743",
"telephone_number": "714-401-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19691 HIGHRIDGE WAY",
"city": "TRABUCO CANYON",
"state": "CA",
"postal_code": "926791638",
"telephone_number": "714-401-9150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAY",
"first_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-26",
"last_updated": "2016-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "18419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trabuco Canyon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.