SUSAN WILLARD (NPI# 1265541445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265541445 |
| Entity Type | Individual |
| Full Name | SUSAN WILLARD |
| Practice Address |
220 N Sykes Creek Pkwy Ste 300 Merritt Island FL 32953-3490 |
| Mailing Address |
Po Box 320596 Cocoa Beach FL 32932-0596 |
| Practice Telephone | 3214590303 |
| Mailing Telephone | 3218681954 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSE # | PT17551 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033179916 | Susan Chaiser Willard | Family Medicine | 6532 E 71st St Ste 150, Tulsa, OK 74133-2771 | 2006-03-24 |
| 1174819882 | Susan E. C. Willard | Nurse Practitioner | 111 Colchester Ave, Burlington, VT 05401-1473 | 2011-06-21 |
| 1376868638 | Susan Jean Willard | Registered Nurse | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2010-03-30 |
| 1851459804 | Susan Willard | Obstetrics & Gynecology | 4920 Campbell Boulevard, Baltimore, MD 21236-5916 | 2006-12-04 |
| 1912925025 | Susan L. Willard | Registered Nurse | 1100 9th Ave, Seattle, WA 98101-2756 | 2006-07-17 |
| Street Address |
220 N SYKES CREEK PKWY STE 300 |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32953-3490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437112455 | Space Coast Surgical Center Ltd | Clinic/Center | 220 N Sykes Creek Pkwy, Suite 101, Merritt Island, FL 32953-3490 | 2006-04-10 |
| 1649547084 | Orthopedic Associates, Pa | Orthopaedic Surgery | 220 N Sykes Creek Pkwy, Suite 200, Merritt Island, FL 32953-3489 | 2011-11-30 |
| 1538392287 | James Earl Poppell Jr. | Physical Therapist | 220 N Sykes Creek Pkwy, Suite 300, Merritt Island, FL 32953-3490 | 2009-08-28 |
| 1689855678 | Renee Nicole Reynolds | Physical Therapy Assistant | 220 N Sykes Creek Pkwy, Suite 200, Merritt Island, FL 32953-3490 | 2007-11-18 |
| 1508917758 | Nadine Rose De Freitas | Physical Therapist | 220 N Sykes Creek Pkwy, Suite 200, Merritt Island, FL 32953-3490 | 2007-01-15 |
| 1679622336 | Michael Delk | Specialist | 220 N Sykes Creek Pkwy, Suite 1, Merritt Island, FL 32953-3490 | 2007-01-10 |
| 1548336928 | Anthony Devinney | Physical Therapist | 220 N Sykes Creek Pkwy, Merritt Island, FL 32953-3490 | 2006-11-28 |
| 1174633895 | Brian Rye | Specialist/Technologist | 220 N Sykes Creek Pkwy, Ste 300, Merritt Island, FL 32953-3490 | 2006-08-30 |
| 1144338021 | Monica James | Physical Therapist | 220 N Sykes Creek Pkwy, Ste 300, Merritt Island, FL 32953-3490 | 2006-08-29 |
| 1720195357 | Warren Chinyanganya | Physical Therapist | 220 N Sykes Creek Pkwy, Merritt Island, FL 32953-3490 | 2006-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235617432 | Medfast Urgent Care Centers, LLC | Clinic/Center | 390 N. Courtenay Pkwy, Merritt Island, FL 32953 | 2018-07-31 |
| 1801277652 | Karen Kinchin | Marriage & Family Therapist | 2460 N Courtenay Pkwy #114, Merritt Island, FL 32953 | 2015-06-17 |
| 1033528716 | Love Seniors Home Inc | Residential Treatment Facility, Physical Disabilities | 460 Sail Lane, Merritt Island, FL 32953 | 2014-08-07 |
| 1861835738 | All One Family Senior Day Program Inc | Clinic/Center | 585 N . Courtenay Pkwy Suite #101, Merritt Island, FL 32953 | 2013-04-10 |
| 1649517848 | Joanna Knopf | Counselor | 2460 N Courtenay Pkwy Ste 114, Merritt Island, FL 32953 | 2013-01-08 |
| 1518211788 | Todd Bradley Pearcy | Speech-Language Pathologist | 1200 South Courtenay Pkwy, Merritt Island, FL 32953 | 2012-11-09 |
| 1881946630 | David Bhola | Family Medicine | 2404 N Courtenay Pkwy Ste D, Merritt Island, FL 32953 | 2012-10-03 |
| 1417240003 | Kimberly Anderson | Community Health Worker | 900 North Courtenay Parkway, Suite 1, Merritt Island, FL 32953 | 2011-05-16 |
| 1972815835 | Ali Correa | Dentist | 229 Crocket Blvd, Merritt Island, FL 32953 | 2010-07-08 |
| 1699972521 | Shandy M. Monborne | Specialist | 237 N. Grove St, Merritt Island, FL 32953 | 2007-07-03 |
| Find all providers in zip 32953 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819727 | Nicole Renee Mckenzie | Physical Therapist | 55 Needle Blvd Apt 65, Merritt Island, FL 32953-3334 | 2020-07-28 |
| 1710455258 | Nicole M Knights | Physical Therapist | 595 N Courtenay Pkwy Ste 203, Merritt Island, FL 32953-4790 | 2018-11-02 |
| 1790068021 | Travis Daniel Boersma | Physical Therapist | 1395 N Courtenay Pkwy Ste 100, Merritt Island, FL 32953-4474 | 2011-09-22 |
| 1639450893 | Theresa A Moccio | Physical Therapist | 135 Lucas Rd, Merritt Island, FL 32953-4547 | 2011-09-01 |
| 1295064426 | Rolando Merced Alburo Jr. | Physical Therapist | 1388 Sanibel Ln, Merritt Island, FL 32952-7202 | 2009-12-17 |
| 1467605600 | Patricia Susan Santos | Physical Therapist | 2003 Misty Harbor Pl, Merritt Island, FL 32952-2803 | 2008-10-31 |
| 1568659258 | Josefina Mendoza | Physical Therapist | 1395 N Courtenay Pkwy Ste 102, Merritt Island, FL 32953-4474 | 2007-09-27 |
| 1205037793 | Pts Staffing LLC | Physical Therapist | 8584 Eden Isles Ln, Merritt Island, FL 32952-6800 | 2007-05-30 |
| 1710087440 | Catherine Owens Scarborough | Physical Therapist | 1690 S Shelter Trl, Merritt Island, FL 32952-5652 | 2006-09-23 |
| 1215045364 | Cheryl Jacobs | Physical Therapist | 220 N Sykes Creek Pkwy Ste 300, Merritt Island, FL 32953-3490 | 2006-08-28 |
| Find all providers in MERRITT ISLAND | ||||
| City | MERRITT ISLAND |
| Zip Code | 32953 |
Please comment or provide details below to improve the information on SUSAN WILLARD.
| 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.