Susan Escudero Dungan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2254 Issued in NM

Practice address

8330 Washington PL NE
A
Albuquerque, NM 87113

Phone

(505) 345-6289

NPI assigned

Mar 28, 2006

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

Other names 1

• Susan Marie Escudero Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Petkov Bodywork Therapy LLCGroup PAC ID 8820428444, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Petkov Bodywork Therapy, LLC

  • Physical Rehabilitation Occupational Therapist
  • Glendale, AZ
  • NPI 1386271690
  Medicare reassignment Care Compare group NPD
• Arizona Luna Care Physical Therapy, LLC

  • Physical Therapist
  • Peoria, AZ
  • NPI 1629698147
  Medicare reassignment NPD
• Allone Healthcare LLC

  • Physical Therapy Clinic/Center
  • Phoenix, AZ
  • NPI 1952122061
  NPD
• Child & Family Resources, Inc

  • Early Intervention Provider Agency
  • Phoenix, AZ
  • NPI 1740599018
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992765309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51626",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87181",
            "telephone_number": "505-263-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 WASHINGTON PL NE",
            "address_2": "A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87113",
            "telephone_number": "505-345-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNGAN",
        "first_name": "SUSAN",
        "middle_name": "ESCUDERO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "2254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ESCUDERO",
            "middle_name": "MARIE",
            "credential": "PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Ann Duncan, LCSW
• Paul R. Duncan, M.D.
• Robert L. Duncan, PHD
• Sarah E Duncan, AUD
• Emily Duneman
• Dungarvin New Mexico LLC
• Margaret Dunivan
• Lucas Dunklee
• Megan Elizabeth Dunlap-Radigan, FNP
• Cassandra Dunlap

• Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.