Active NPI
Susan Pitzel, PT, DPT, MS
- Neurology Physical Therapist
- Old Bridge, NJ
National Provider Identifier
1891994851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physical Therapist
- License
- 40QA00501400
- Practice address
- 21 Fernwood PL
Old Bridge, NJ 08857-2625 - Phone
- (732) 679-3776
- NPI assigned
- Jul 11, 2007
- Last updated
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physical Therapist | 2251N0400X | 40QA00501400 | NJ | Primary |
Addresses
Primary practice location
21 Fernwood PL
Old Bridge, NJ 08857-2625
Mailing address
21 Fernwood PL
Old Bridge, NJ 08857-2625
Phone (732) 679-3776
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1891994851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 FERNWOOD PL",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572625",
"telephone_number": "732-679-3776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 FERNWOOD PL",
"city": "OLD BRIDGE",
"state": "NJ",
"postal_code": "088572625",
"telephone_number": "732-679-3776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITZEL",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PT, DPT, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "NJ",
"license": "40QA00501400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Old Bridge, NJ
- Pharmacy NJ LLC (Southwood Pharmacy)
- Jacinda Pietanza, PHYSICIAN ASSISTANT
- Elijah Piker
- Michael Pisano, DPT
- Gayle M Pistilli, NP
- Plaza Chiropractic and Sports Medicine PC
- Plaza Chiropractic Center (Dr. Ira Shapiro)
- Erich Vincent Polst, MSAT, LAT, ATC
- Amit Poonia, M.D.
- Sheilah Powell, BACHELOR'S OF ARTS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.