Organization Active NPI

Senior Therapy Solutions, LLC

  • Physical Therapist
  • Winter Garden, FL
National Provider Identifier
1962032755
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SENIOR THERAPY SOLUTIONS, LLC
Practice address
4814 Hamlin Groves TRL Ste B
Winter Garden, FL 34787-4170
Phone
(407) 287-6603
Fax
(850) 391-4114
NPI assigned
Jan 21, 2020
Last updated
Dec 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Suzanne Sutterfield WaltersNPI 1285653527
Title
Owner
Phone
(601) 308-5117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

4814 Hamlin Groves TRL Ste B
Winter Garden, FL 34787-4170

Mailing address

PO Box 168
Crystal Springs, MS 39059-0168
Phone (850) 588-9641

Other practice location 1

13123 E Emerald Coast Pkwy Ste B-145
Rosemary Beach, FL 32461-9604
Phone (850) 588-9641

National Provider Directory

National Provider Directory

Locations

11626 US Highway 90
Ste B
Daphne, AL 36526

13123 E Emerald Coast Pkwy
Ste B145
Rosemary Beach, FL 32461

522 6th Baxter Xing
Ste B
Fort Mill, SC 29708
Phone (803) 929-7408

5901 Crosslake Pkwy
Ste B
Waco, TX 76712
Phone (254) 300-6964

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1962032755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 168",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "390590168",
            "telephone_number": "850-588-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4814 HAMLIN GROVES TRL STE B",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874170",
            "telephone_number": "407-287-6603",
            "fax_number": "850-391-4114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13123 E Emerald Coast Pkwy Ste B-145",
            "address_purpose": "LOCATION",
            "city": "Rosemary Beach",
            "state": "FL",
            "postal_code": "324619604",
            "country_code": "US",
            "telephone_number": "850-588-9641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENIOR THERAPY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "SUTTERFIELD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-308-5117"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.