Active NPI
Susan N Facemire, DPT
- Physical Therapist
- Barberton, OH
National Provider Identifier
1992117063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014803
- Practice address
- 129 5TH St SE
Barberton, OH 44203-4204 - Phone
- (330) 631-0010
- Fax
- (330) 631-0011
- NPI assigned
- May 23, 2014
- 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 | PT014803 | OH | Primary |
Addresses
Primary practice location
129 5TH St SE
Barberton, OH 44203-4204
Mailing address
129 5TH St SE
Barberton, OH 44203-4204
Phone (330) 631-0010
Other names 1
- Susan N Shultz
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4645 Belpar St NW
Canton, OH 44718-3602
Phone (330) 493-4210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novacare Rehabilitation of Ohio, Inc. | Physical Therapist | Current | Accepting new patients |
| Novacare Rehabilitation of Ohio Inc | Physical Therapist | Current | Accepting new patients |
| Novacare Rehabilitation of Ohio Inc | Past | Accepting new patients |
Locations
4645 Belpar St NW
Canton, OH 44718
Phone (330) 493-4210
803 E Washington St
Ste 130
Medina, OH 44256
Phone (330) 725-4200
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 Therapy Clinic/Center
- Alliance, OH
- NPI 1952970824
Physical Therapist
-
- Physical Therapy Clinic/Center
- Canton, OH
- NPI 1609445568
Physical Therapist
-
- Physical Therapy Clinic/Center
- Beechwood, OH
- NPI 1740447895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1992117063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 5TH ST SE",
"city": "BARBERTON",
"state": "OH",
"postal_code": "442034204",
"telephone_number": "330-631-0010",
"fax_number": "330-631-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 5TH ST SE",
"city": "BARBERTON",
"state": "OH",
"postal_code": "442034204",
"telephone_number": "330-631-0010",
"fax_number": "330-631-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FACEMIRE",
"first_name": "SUSAN",
"middle_name": "N",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-23",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT014803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "SHULTZ",
"middle_name": "N",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Barberton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.