Active NPI
Susanna Lee, P.T.
- Physical Therapist
- Golden, CO
National Provider Identifier
1942560883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11452
- Practice address
- 5534 Salvia CT
Golden, CO 80403-1118 - Phone
- (303) 521-7395
- NPI assigned
- May 25, 2012
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11452 | CO | Primary |
Addresses
Primary practice location
5534 Salvia CT
Golden, CO 80403-1118
Mailing address
7200 E Evans Ave
Apt#108
Denver, CO 80224-2421
Phone (720) 620-4908
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11452 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337904000000",
"number": "1942560883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 E EVANS AVE",
"address_2": "APT#108",
"city": "DENVER",
"state": "CO",
"postal_code": "802242421",
"telephone_number": "720-620-4908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5534 SALVIA CT",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804031118",
"telephone_number": "303-521-7395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SUSANNA",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-25",
"last_updated": "2012-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "11452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.