Active NPI
Susan E Earl, MPT
- Physical Therapist
- Durango, CO
National Provider Identifier
1962464917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0004785
- Practice address
- 555 Rivergate Ste B1-108
Durango, CO 81301-7473 - Phone
- (970) 426-9074
- NPI assigned
- Apr 5, 2006
- Last updated
- Sep 10, 2021
- 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 | PTL.0004785 | CO | Primary |
Addresses
Primary practice location
555 Rivergate Ste B1-108
Durango, CO 81301-7473
Mailing address
555 Rivergate Ste B1-108
Durango, CO 81301-7473
Phone (970) 426-9074
Other names 1
- Sueb Medsker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
575 Rivergate
Unit 97
Durango, CO 81301-7490
Phone (970) 259-0574
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tomsic Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
575 Rivergate Ln
Unit 97
Durango, CO 81301
Phone (970) 259-0574
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Durango, CO
- NPI 1821178195
-
- Orthopedic Physical Therapist
- Durango, CO
- NPI 1568035251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1962464917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 RIVERGATE STE B1-108",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017473",
"telephone_number": "970-426-9074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 RIVERGATE STE B1-108",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017473",
"telephone_number": "970-426-9074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARL",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0004785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUEB",
"last_name": "MEDSKER",
"credential": "MPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.