Active NPI
Suzanne M James, P.T.
- Physical Therapist
- Yadkinville, NC
National Provider Identifier
1962680124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8211
- Practice address
- 102 Woodlyn Dr
Yadkinville, NC 27055-6673 - Phone
- (336) 677-1800
- Fax
- (336) 677-1802
- NPI assigned
- Feb 9, 2008
- 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 | 8211 | NC | Primary |
Addresses
Primary practice location
102 Woodlyn Dr
Yadkinville, NC 27055-6673
Mailing address
102 Woodlyn Dr
Yadkinville, NC 27055-6673
Phone (336) 677-1800
Other names 1
- Miss Suzanne R Martin
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8211 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Yadkin Physical Therapy, L.L.C. | Physical Therapist | Past | Accepting new patients |
Locations
2030 Windsor Run Ln
Matthews, NC 28105
Phone (704) 432-6250
1807 Windsor Run Ln
Matthews, NC 28105
Phone (704) 443-6200
2147 Davie Ave
Statesville, NC 28625
Phone (704) 878-0123
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Statesville, NC
- NPI 1619575651
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
-
- Physical Therapist
- Yadkinville, NC
- NPI 1487691390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1962680124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODLYN DR",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270556673",
"telephone_number": "336-677-1800",
"fax_number": "336-677-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 WOODLYN DR",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270556673",
"telephone_number": "336-677-1800",
"fax_number": "336-677-1802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "SUZANNE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-09",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "8211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUZANNE",
"last_name": "MARTIN",
"middle_name": "R",
"prefix": "MISS",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Yadkinville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.