MRS. SUSAN MARIE MAHONEY (NPI# 1003191628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003191628 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN MARIE MAHONEY |
| Other Name | SUSAN MAHONEY |
| Practice Address |
1635 Ohio St Watertown NY 13601-3032 |
| Mailing Address |
28273 Rockledge Dr Chaumont NY 13622-0533 |
| Practice Telephone | 3157867285 |
| Mailing Telephone | 7815811852 |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
033802-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760649784 | Susan Mary Mahoney | Social Worker | 70 Albany Ave, Kingston, NY 12401 | 2008-05-19 |
| 1801304795 | Susan Lai Mahoney | Pharmacist | 1731 E Avenue J, Lancaster, CA 93535-6928 | 2018-01-13 |
| 1679090583 | Susan Ann Mahoney | Speech-Language Pathologist | 799 W Kensington Rd, Mount Prospect, IL 60056-1111 | 2017-08-23 |
| 1447514054 | Susan Kay Mahoney | Pharmacist | 705 Trosper Rd Sw, Tumwater, WA 98512 | 2012-06-28 |
| 1093928806 | Susan Fay Mahoney | Registered Nurse | 124 Professors Row, Tufts University Health Service, Medford, MA 02155-5816 | 2007-05-08 |
| 1295848265 | Susan Marie Mahoney | Specialist | 1117 Spring St, Friday Harbor, WA 98250-8057 | 2006-08-16 |
| 1770532574 | Susan E. Mahoney | Pediatrics | 139 Sandwich St, Plymouth, MA 02360-2449 | 2006-05-09 |
| Street Address |
1635 OHIO ST |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-3032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902059918 | Maureen Louise Lyng | Speech-Language Pathologist | 1635 Ohio St, Watertown, NY 13601-3032 | 2008-11-04 |
| 1801364278 | Miranda Susan Youngs | Occupational Therapist | 1635 Ohio St, Watertown, NY 13601-3032 | 2018-11-05 |
| 1831680396 | Morgan Roes Widrick | Speech-Language Pathologist | 1635 Ohio St, Watertown, NY 13601-1964 | 2018-05-21 |
| 1144738162 | Cierra Barnes Hulbert | Physical Therapist | 1635 Ohio St, Watertown, NY 13601-3032 | 2018-01-11 |
| 1184167173 | Benchmark Family Services, Inc. | Early Intervention Provider Agency | 1635 Ohio St, Watertown, NY 13601-3032 | 2016-11-23 |
| 1396108338 | Amanda Dominguez | Occupational Therapist | 1635 Ohio St, Watertown, NY 13601-3032 | 2016-03-29 |
| 1871905315 | Kristen Leigh Sparks | Speech-Language Pathologist | 1635 Ohio St, Watertown, NY 13601-3032 | 2014-06-02 |
| 1740535889 | Kathleen A Finnerty | Registered Nurse | 1635 Ohio St, Watertown, NY 13601-3032 | 2012-07-15 |
| 1740582808 | Chelsea Vanarnam | Occupational Therapist | 1635 Ohio St, Watertown, NY 13601-3032 | 2010-11-23 |
| 1912149196 | Andrea Lynn Phillips | Speech-Language Pathologist | 1635 Ohio St, Watertown, NY 13601-3032 | 2009-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013110600 | Andrea B O'brien | Physical Therapist | 16 Fitchburg St, Watertown, MA 02472-1892 | 2007-06-09 |
| 1013228576 | Nancy Aten | Physical Therapist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2010-06-29 |
| 1457662512 | David L Clough | Physical Therapist | 16783 Ives Street Ext, Watertown, NY 13601-5312 | 2010-06-23 |
| 1922231497 | Sarah Eves Overton | Physical Therapist | 420 Gaffney Dr, Watertown, NY 13601-1823 | 2009-08-31 |
| 1891948451 | Jo-anne P Brown | Physical Therapist | 16783 Ives Street Ext, Watertown, NY 13601-5312 | 2008-10-28 |
| 1417095084 | Virginia Caputo | Physical Therapist | 124 Watertown St, Watertown, MA 02472-2576 | 2007-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1295398279 | Developmental Steps, LLC | Physical Therapist | 388 Westchester Ave Ste 1a-1b, Port Chester, NY 10573-3650 | 2019-04-16 |
| 1982176079 | Abilities Center, Pllc | Physical Therapist | 10 Mountain Ledge, Wilton, NY 12831-2539 | 2018-12-30 |
| 1922575026 | Hallie Rebecca Stock | Physical Therapist | 74 Stuyvesant Ave, Larchmont, NY 10538-2730 | 2018-10-26 |
| 1508331281 | Jaya Rachwani Parshotam | Physical Therapist | 323 W 96th St Apt 509, New York, NY 10025-6279 | 2018-10-09 |
| 1730663931 | Monica Isabel Bhardwaj | Physical Therapist | 1044 Cove Rd, Mamaroneck, NY 10543-4308 | 2018-09-24 |
| 1952884934 | Jumping Feet Mgmt Corp. | Physical Therapist | 175 19th St Apt 501, Brooklyn, NY 11232-1026 | 2018-09-14 |
| 1467934000 | Victoria Buchanan | Physical Therapist | 199 Thorncliff Rd, Buffalo, NY 14223-1241 | 2018-08-30 |
| 1841786324 | Sunshine Rehab Pt PC | Physical Therapist | 19840 32nd Ave Apt B2, Flushing, NY 11358 | 2018-07-08 |
| 1346734472 | Dale Scalise-smith | Physical Therapist | 24 Osborn St, Stony Point, NY 10980-3651 | 2018-06-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.