Active NPI
Suzanne Baysa, P.T.
- Physical Therapist
- Honolulu, HI
National Provider Identifier
1922499383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT -3179
- Practice address
- 2670 Pacific Heights Rd
Honolulu, HI 96813-1049 - Phone
- (808) 524-1955
- Fax
- (808) 537-5418
- NPI assigned
- Feb 6, 2015
- 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 | PT -3179 | HI | Primary |
Addresses
Primary practice location
2670 Pacific Heights Rd
Honolulu, HI 96813-1049
Mailing address
1952 E Fort Union Blvd
Ste 100
Salt Lake City, UT 84121-6877
Phone (801) 456-8409
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT -3179 | HI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423180800000",
"number": "1922499383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1952 E FORT UNION BLVD",
"address_2": "STE 100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216877",
"telephone_number": "801-456-8409",
"fax_number": "801-495-5302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 PACIFIC HEIGHTS RD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968131049",
"telephone_number": "808-524-1955",
"fax_number": "808-537-5418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYSA",
"first_name": "SUZANNE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-06",
"last_updated": "2015-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT -3179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.