Susan Roley, DPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT 60130851 Issued in WA

Practice address

6161 NE 175TH St Ste 203
Kenmore, WA 98028-4800

Phone

(425) 482-2453

Fax

(425) 482-2452

NPI assigned

Apr 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Corpore Sano LLC

  • Physical Therapy Clinic/Center
  • Kenmore, WA
  • NPI 1730356122
  NPD (past)

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302566400000",
    "number": "1982994885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 NE 175TH ST STE 203",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284800",
            "telephone_number": "425-482-2453",
            "fax_number": "425-482-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 NE 175TH ST STE 203",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980284800",
            "telephone_number": "425-482-2453",
            "fax_number": "425-482-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLEY",
        "first_name": "SUSAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "PT 60130851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert M. Gottlieb, DDS, PS
• Elizabeth Caitlyn Roberts
• Robinson & Conway, P.L.L.C.
• Gabriela Rebecca Rodriguez
• Michele K Rogalin, LMP
• Ron Coverdale OD PS
• Karen Rongren
• Wendy M Rosinski, LMP
• Victoria A Rotton, L.M.H.C.
• Safeway Inc

• Specialist in Kenmore, WA
• Providers in Kenmore, WA by specialty
• Specialist in Washington

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