SUSAN LOUISE WILLIAMSON (NPI# 1801900592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801900592 |
| Entity Type | Individual |
| Full Name | SUSAN LOUISE WILLIAMSON |
| Practice Address |
20 Peachtree Ct Suite 105 Holbrook NY 11741-4616 |
| Practice Telephone | 6314673700 |
| Practice Fax Number | 6314670928 |
| Mailing Telephone | 6314673700 |
| Mailing Fax Number | 6314670928 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
5536416 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629276621 | Susan W Williamson | Psychiatry & Neurology | 2011 Cedar Springs Rd, Suite 103, Dallas, TX 75201-1808 | 2007-07-11 |
| 1528070430 | Susan Williamson | Counselor | 2825 Frontage Rd Highway 27, Sebring, FM 33870 | 2006-08-12 |
| 1114359767 | Susan Williamson | Case Manager/Care Coordinator | 141 E Main St, Waterbury, CT 06702-2310 | 2013-08-06 |
| 1972631711 | Susan Louise Williamson | Social Worker | 1965 Live Oak Blvd, Yuba City, CA 95991-8828 | 2007-03-02 |
| 1760544902 | Susan B Williamson | Occupational Therapist | 2515 Double Churches Rd, Columbus, GA 31909-2742 | 2006-12-14 |
| 1215944269 | Susan Williamson | Radiology | University of New Mexico Hospital, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-02 |
| 1184677460 | Susan Rebecca Williamson | Social Worker | 240 N Tillotson Ave, Muncie, IN 47304-3988 | 2006-05-18 |
| 1164496329 | Susan Holt Williamson | Nurse Practitioner | 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314-5604 | 2006-02-15 |
| 1164428991 | Susan Ann Williamson | Nurse Anesthetist, Certified Registered | 155 Memorial Dr, Pinehurst, NC 28374-8710 | 2005-06-27 |
| Street Address |
20 PEACHTREE CT SUITE 105 |
| City | HOLBROOK |
| State | NY |
| Zip Code | 11741-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063497717 | Stephen Michael Joseph | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2005-12-14 |
| 1124569967 | Kathryn Dibenedetto | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2017-03-13 |
| 1144674359 | Clinical Care Associates, P.C. | Community/Behavioral Health | 20 Peachtree Ct, Suite 100, Holbrook, NY 11741-4616 | 2016-04-14 |
| 1548625601 | Tatyana Prusakova | Occupational Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-12-16 |
| 1922481555 | Jean Paul Lo | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-07-01 |
| 1487032017 | Estrellita Ammirati | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-05-15 |
| 1942687579 | Prn Physical & Occupational Therapy Network | Residential Treatment Facility, Physical Disabilities | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-05-04 |
| 1588041636 | Susan Peel | Occupational Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2015-04-28 |
| 1013315407 | Teresita Corpus | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2014-12-17 |
| 1134522931 | Youssef Boles | Physical Therapist | 20 Peachtree Ct, Suite 105, Holbrook, NY 11741-4616 | 2014-10-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591199 | Rebecca Neville | Occupational Therapist | 302 Patchogue Hobrook Rd, Sunrise of Holbrook, Holbrook, NY 11741 | 2019-11-05 |
| 1437630258 | Church Street Acupuncture Pllc | Acupuncturist | 1720 Church St, Holbrook, NY 11741 | 2018-08-29 |
| 1780191288 | Mid-island Speech Language Pathology, Pllc | Speech-Language Pathologist | 24 Donald Street, Holbrook, NY 11741 | 2018-01-05 |
| 1871013177 | Melissa Blom | Massage Therapist | 19 Charles Ave, Holbrook, NY 11741 | 2017-06-27 |
| 1215392329 | Laura Glotzer | Registered Nurse | 812 Greenbelt Pkwy W, Holbrook, NY 11741 | 2015-12-17 |
| 1437524758 | Shakim Rivera | Licensed Practical Nurse | 445 Furrows Road, Box 443, Holbrook, NY 11741 | 2015-12-11 |
| 1700255965 | Nancy Inanir | Nurse Practitioner | 59 Avenue E, Holbrook, NY 11741 | 2015-09-17 |
| 1003298233 | Eileen M Murphy | Early Intervention Provider Agency | 1606 Grundy Avenue, Holbrook, NY 11741 | 2015-06-24 |
| 1386052090 | Allison Dunne | Specialist/Technologist | 9 Circeldale Lane, Holbrook, NY 11741 | 2014-07-25 |
| 1396173258 | Valerie Guidone | Registered Nurse | 24 Gainsborough Rd, Holbrook, NY 11741 | 2013-10-30 |
| Find all providers in zip 11741 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469410 | Heather Mcconnell | Specialist/Technologist | 182 Greenbelt Pkwy, Holbrook, NY 11741-4440 | 2019-10-21 |
| 1174081764 | James Labartino | Specialist/Technologist | 408 Hauser Ave, Holbrook, NY 11741-3441 | 2019-03-04 |
| 1386052090 | Allison Dunne | Specialist/Technologist | 9 Circeldale Lane, Holbrook, NY 11741 | 2014-07-25 |
| 1538393095 | Anthony Jamal Wright | Specialist/Technologist | 47 Clover Rd, Holbrook, MA 02343-1681 | 2009-05-12 |
| 1396889366 | Michael Joseph Wulforst | Specialist/Technologist | 245 Union Ave, Holbrook, NY 11741-1800 | 2007-02-16 |
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|---|---|---|---|---|
| 1639779309 | Jonathan Edwards | Specialist/Technologist | 39 Monty St, Plattsburgh, NY 12901-3702 | 2020-10-30 |
| 1245830207 | Skyler Lauren Cirillo | Specialist/Technologist | 1000 Hempstead Turnpike, Hempstead, NY 11549-0001 | 2020-10-29 |
| 1790384410 | Gina Siracusano | Specialist/Technologist | 630 Mastic Rd Ste 4, Mastic Beach, NY 11951-1020 | 2020-10-23 |
| 1134728504 | Corinne Edwards | Specialist/Technologist | 3606 Nutt Rd, Jamestown, NY 14701-9432 | 2020-10-18 |
| 1720687163 | Theresa A Trump | Specialist/Technologist | 7 Mapleline Rd, Ballston Lake, NY 12019-1589 | 2020-10-17 |
| 1235738667 | Erica Michalski | Specialist/Technologist | 157 Hillpine Rd, Cheektowaga, NY 14227-2261 | 2020-10-17 |
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1720686231 | Leighann Buzzard | Specialist/Technologist | 277 Forbes Ave, Tonawanda, NY 14150-4705 | 2020-10-16 |
| 1861090367 | Jake Savino | Specialist/Technologist | 185 Oak Ave, Staten Island, NY 10306-4002 | 2020-10-15 |
| 1992303572 | Elise Fitzsimmons | Specialist/Technologist | 9 Laker Hall, Oswego, NY 13126 | 2020-10-15 |
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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.