SUSAN A SMITH (NPI# 1902854656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902854656 |
| Entity Type | Individual |
| Full Name | SUSAN A SMITH |
| Credential | P.T. |
| Practice Address |
34520 Bob Wilson Dr Suite 100 San Diego CA 92134-2098 |
| Mailing Address |
3642 Nereis Dr La Mesa CA 91941-8013 |
| Practice Telephone | 6195325466 |
| Practice Fax Number | 6195326908 |
| Mailing Telephone | 6197417800 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT 23289 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407347297 | Susan Banuelos Smith | Dietitian, Registered | 3801 W 15th St Ste 214, Plano, TX 75075 | 2018-05-29 |
| 1447751870 | Susan Allen Smith | Registered Nurse | 1210 Terrace Dr, Mesquite, TX 75150-4284 | 2018-02-21 |
| 1326585407 | Susan A Smith | Nutritionist | 1114 Hidden Spring Dr, Naperville, IL 60540-4112 | 2017-01-26 |
| 1588115067 | Susan Smith | Counselor | 8491 N. Lake Blvd., Kings Beach, CA 96143 | 2016-10-19 |
| 1508316712 | Susan Taylor Smith | Speech-Language Pathologist | 120 Brundage Ter, Hot Springs, AR 71913-9348 | 2016-10-12 |
| 1326595075 | Susan Smith | Physical Therapist | 1115 E Hampton Dr, Pearland, TX 77584-7620 | 2016-09-09 |
| 1740656115 | Susan Smith | Counselor | 108089 S 4670 Rd, Sallisaw, OK 74955-8587 | 2015-08-19 |
| 1902282734 | Susan Smith | Physical Therapist | 4 Carville Ave, Lexington, MA 02421-6212 | 2015-08-04 |
| 1790173110 | Susan Smith | Speech-Language Pathologist | 301 Haig Dr, Wilmington, NC 28412-7134 | 2015-01-07 |
| 1598180218 | Susan Smith I | Counselor | 2819 Teasdale Dr, Troy, MI 48083-2657 | 2014-03-04 |
| Street Address |
34520 BOB WILSON DR SUITE 100 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92134-2098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195567 | Neil Frank Gibbs | Dermatology | 34520 Bob Wilson Dr, Dermatology Department, Naval Medical Center, San Diego, CA 92134-2300 | 2005-09-20 |
| 1578036174 | Michael Matthew Fregolle | Military Health Care Provider | 34520 Bob Wilson Dr, San Diego, CA 92134-2098 | 2019-01-07 |
| 1932677499 | Emily J Thomas | Physician Assistant | 34520 Bob Wilson Dr, San Diego, CA 92134-2098 | 2018-11-02 |
| 1689184624 | Lisa Rene Burns | Nurse Practitioner | 34520 Bob Wilson Dr, San Diego, CA 92134-2098 | 2017-10-04 |
| 1154659803 | Michael William Terrenzi | Pharmacist | 34520 Bob Wilson Dr, Naval Medical Center, Pharmacy Dept. Bldg. 1 Flr. 1, San Diego, CA 92134-2098 | 2009-11-18 |
| 1235367327 | Paula Witherspoon | Pediatrics | 34520 Bob Wilson Dr, Department of Pediatrics, San Diego, CA 92134-2030 | 2009-06-26 |
| 1477780617 | Erin Beth Storie | Dermatology | 34520 Bob Wilson Dr, Suite #300, San Diego, CA 92134-2098 | 2009-06-15 |
| 1679771133 | Branch Medical Clinic North Island | Clinic/Center | 34520 Bob Wilson Dr, San Diego, CA 92134-2098 | 2007-07-06 |
| 1164558102 | Alana Sulit | Registered Nurse | 34520 Bob Wilson Dr, San Diego, CA 92134 | 2007-02-26 |
| 1568525319 | Carol Lynn Budzik | General Practice | 34520 Bob Wilson Dr, Suite 100, San Diego, CA 92134-2098 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1255870333 | Dosh Page | Physician Assistant | Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 | 2017-02-22 |
| 1417328063 | Noem Clay Gallego | Military Health Care Provider | 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 | 2015-10-08 |
| 1972999183 | Justin Paul Lachney | Military Health Care Provider | 34101 Farenholt Avenue, San Diego, CA 92134 | 2015-04-14 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1447591268 | Amy B. Cornell | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 | 2013-03-04 |
| 1841562956 | Christopher Patrick Androski Jr. | Emergency Medical Technician, Basic | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 | 2012-02-04 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1225320237 | Kimberly Ann Thompson | Student in an Organized Health Care Education/Training Program | Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 | 2011-05-09 |
| Find all providers in zip 92134 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745233 | Tejal Shah Chokshi | Physical Therapist | 7425 La Mantanza, San Diego, CA 92127-3636 | 2020-09-16 |
| 1487277992 | Katherine Anne Zweier | Physical Therapist | 4646 Van Dyke Ave, San Diego, CA 92116-4842 | 2020-05-19 |
| 1205100138 | Sunny Days of California | Physical Therapist | 10680 Treena St Ste 170, San Diego, CA 92131-2443 | 2012-02-23 |
| 1922321082 | Amber H. Barlow | Physical Therapist | 1110 Carolina Ln, Room 206, San Diego, CA 92102-3713 | 2010-03-03 |
| 1366570889 | Beth Ann Ashcraft | Physical Therapist | 11590 W Bernardo Ct, Suite 100, San Diego, CA 92127-1622 | 2007-02-28 |
| 1134216294 | Rehab United Sports Medicine & Physical Therapy, Inc. | Physical Therapist | 3959 Ruffin Rd, Suite F, San Diego, CA 92123-1830 | 2006-10-09 |
| 1629020938 | Amy Nakatsuchi | Physical Therapist | 6991 Balboa Ave, San Diego, CA 92111-3447 | 2006-05-16 |
| 1316595515 | Coryann Lyn-marie Ledford | Physical Therapist | 1809 National Ave, San Diego, CA 92113-2113 | 2019-08-30 |
| 1407324825 | Taylor Marie Walter | Physical Therapist | 13223 Black Mountain Rd # 1358, San Diego, CA 92129-2698 | 2018-11-03 |
| 1326522582 | Callahan Associates Incorporated | Physical Therapist | 10760 Thornmint Rd, San Diego, CA 92127-2700 | 2018-09-24 |
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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.