Individual provider Active NPI

Sue Ellen Schuerman, PT, GCS, MBA, PHD

  • Geriatric Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1942578596
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
1440 Issued in NV
Practice address
4505 S Maryland Pkwy
Box 453029
Las Vegas, NV 89154-3029
Phone
(702) 895-4768
Fax
(702) 895-4883
NPI assigned
Dec 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 1440 NV Primary

Addresses

Primary practice location

4505 S Maryland Pkwy
Box 453029
Las Vegas, NV 89154-3029

Mailing address

4505 S Maryland Pkwy
Box 453029
Las Vegas, NV 89154-3029
Phone (702) 895-4768

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 Business Administration, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1440NVMDGeriatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1942578596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 S MARYLAND PKWY",
            "address_2": "BOX 453029",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891543029",
            "telephone_number": "702-895-4768",
            "fax_number": "702-895-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 S MARYLAND PKWY",
            "address_2": "BOX 453029",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891543029",
            "telephone_number": "702-895-4768",
            "fax_number": "702-895-4883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUERMAN",
        "first_name": "SUE",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PT, GCS, MBA, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NV",
            "license": "1440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.