Susan Bartol, PT
Individual provider Active NPI Specialist · Baton Rouge, LA
NPI 1962642926 · NPPES record last updated Mar 3, 2009
Key facts
- NPI
- 1962642926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 00571 (LA)
- Practice address
- 7855 Howell Place Blvd
Ste 220
Baton Rouge, LA 70807-5256 - Phone
- (225) 454-6005
- Fax
- (225) 454-6018
- NPI assigned
- Mar 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00571 | LA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Baton Rouge Physical Therapy, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 00571 | LA | Yes |
Addresses
Primary practice location
7855 Howell Place Blvd
Ste 220
Baton Rouge, LA 70807-5256
Mailing address
7855 Howell Place
Ste. 220
Baton Rouge, LA 70807
Phone (225) 454-6005
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376751263 | Other | LA | BCBS |
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.