Active NPI
Susan Miller Enright
- Physical Therapy Assistant
- Charlotte, NC
National Provider Identifier
1992977359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 958
- Practice address
- 11230 Ballantyne Trace CT
Charlotte, NC 28277-2791 - Phone
- (704) 341-1139
- NPI assigned
- Mar 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 958 | NC | Primary |
Addresses
Primary practice location
11230 Ballantyne Trace CT
Charlotte, NC 28277-2791
Mailing address
2024 Rama Rd
Charlotte, NC 28212-6232
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 958 | NC | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1992977359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2024 RAMA RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282126232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11230 BALLANTYNE TRACE CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772791",
"telephone_number": "704-341-1139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENRIGHT",
"first_name": "SUSAN",
"middle_name": "MILLER",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-26",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Enhancement Home Care LLC
- Enlighten Legacy Microschool Academy Inc
- Caitriona Lin Ennis, OTD, OTR/L
- Melissa Enoch, LPC, LCAS, CCS, MAC
- Francis Morgan Enright, L.P.C.
- Enstart & Associates
- Enstart & Associates Home Care Agency
- Ensure Home Care of North Carolina LLC
- Ensure Home Health Services
- Ensuring Solutions Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.