MRS. SUSAN M. PETTER (NPI# 1871566042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871566042 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN M. PETTER |
| Credential | P.T. |
| Practice Address |
1221 Wickford Dr Springfield IL 62704-2127 |
| Practice Telephone | 2177933762 |
| Practice Fax Number | 2177933762 |
| Mailing Telephone | 2177933762 |
| Mailing Fax Number | 2177933762 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1221 WICKFORD DR |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609330372 | Kids Care Pediatric Therapies | Physical Therapist | 1948 S Glenstone Ave Ste 104, Springfield, MO 65804-2305 | 2019-01-28 |
| 1336426386 | Kesia Danner-bowman | Physical Therapist | 2898 S Eldon Ave, Springfield, MO 65807-5532 | 2011-11-04 |
| 1124353792 | Susan Caulfield Wise | Physical Therapist | 7405 Calico Ct, Springfield, VA 22153-1302 | 2009-10-14 |
| 1245468289 | Melissa Lee Quinn | Physical Therapist | 29 Crest Pl, Springfield, NJ 07081-1618 | 2009-06-29 |
| 1922282169 | Mary Anne Raab | Physical Therapist | St John's Hospital, 800 East Carpenter, Springfield, IL 62769-0001 | 2007-12-24 |
| 1558560631 | Exceptional Childrens Center, LLC | Physical Therapist | 7001a Loisdale Rd, Springfield, VA 22150-1904 | 2007-07-17 |
| 1841801693 | Natalie Hall | Physical Therapist | 514 S Brown St, Springfield, TN 37172-2937 | 2020-08-14 |
| 1215392691 | Trinitas Children's Therapy Services | Physical Therapist | 899 Mountain Avenue, Suite 1a, Springfield, NJ 07081 | 2015-12-29 |
| 1275903338 | Christina Freeman | Physical Therapist | 1601 E Pythian St, Springfield, MO 65802-2141 | 2015-10-01 |
| 1750758389 | Lauren Carruthers | Physical Therapist | 8348 Traford Ln, Suite 200, Springfield, VA 22152-1663 | 2015-08-31 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on MRS. SUSAN M. PETTER.
| 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.