MRS. SUSAN MAE GIBBONS (NPI# 1992998710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992998710 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN MAE GIBBONS |
| Other Name | MRS. SUSAN MAE CHEN |
| Credential | DPT |
| Practice Address |
501 Se 172nd Ave Ste 110 Vancouver WA 98684 |
| Mailing Address |
700 Ne 87th Ave Vancouver WA 98664-4896 |
| Practice Telephone | 3608822778 |
| Practice Fax Number | 3606041773 |
| Mailing Telephone | 3608822778 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 60448842 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2094452 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1905 Se 192nd Ave Ste 205, Camas, WA 986077415 | 3602105440 | 3602107731 |
| 6542 Se Lake Rd Ste 105, Milwaukie, OR 972222245 | 5034964550 | 5034964551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417302811 | Susan Gibbons | Case Manager/Care Coordinator | 601 W 26th St Rm 522, New York, NY 10001-1137 | 2016-05-04 |
| 1205194388 | Susan B R Gibbons | Social Worker | 1507 Ritchie Hwy, Suite 102, Arnold, MD 21012-2743 | 2012-04-26 |
| 1598096133 | Susan Kristy Gibbons | Physical Therapist | 1495 Nw Gilman Blvd, Suite 4, Issaquah, WA 98027-8975 | 2010-01-21 |
| 1912199308 | Susan Mumby Gibbons | Audiologist | 243 Charles St, Department of Audiology, Boston, MA 02114-3002 | 2007-08-10 |
| 1720089444 | Susan K Gibbons | Radiology | 43 New Scotland Ave, Dept Radiation Oncology, Albany, NY 12208-3412 | 2005-08-03 |
| Street Address |
501 SE 172ND AVE STE 110 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| 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 |
|---|---|---|---|---|
| 1023644424 | Gavin Lee | Physical Therapist | 23605 Ne 108th St, Vancouver, WA 98682-9549 | 2020-03-17 |
| 1134751639 | Maarten Alexander Harris | Physical Therapist | 2525 Ne 139th St Ste 170, Vancouver, WA 98686-2719 | 2020-02-12 |
| 1245887272 | Elevate Physical Therapy | Physical Therapist | 9228 Ne Highway 99 Ste 105, Vancouver, WA 98665-8984 | 2019-08-23 |
| 1861957060 | Therapydia California Physical Therapy, PC. | Physical Therapist | 1125 Se 163rd Pl, Vancouver, WA 98683-4467 | 2019-02-01 |
| 1770050213 | Steven Xavier Cabrales Jr. | Physical Therapist | 300 Grand Blvd Ste B200, Vancouver, WA 98661-4937 | 2018-11-01 |
| 1972082345 | Charles Thomas Williams | Physical Therapist | 8040 E Mill Plain Blvd, Vancouver, WA 98664-2002 | 2018-08-07 |
| 1194202101 | Elaina Marie Gayles | Physical Therapist | 2415 Ne 134th St Ste 201, Vancouver, WA 98686-3032 | 2018-07-23 |
| 1083109755 | Kallie A Wikman | Physical Therapist | 100 E 33rd St Ste 204, Vancouver, WA 98663 | 2018-06-26 |
| 1538660436 | Catherine A Doyle | Physical Therapist | 1308 Ne 134th St Ste 110, Vancouver, WA 98685-2726 | 2018-02-26 |
| 1326548165 | Tawny Kehaulani Souza | Physical Therapist | 2012 E 11th St, Vancouver, WA 98661-4110 | 2018-02-19 |
| Find all providers in VANCOUVER | ||||
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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.