Susan Antrim, PTA is a
Physical Therapy Assistant based in Valparaiso, Indiana. Susan Antrim is licensed to practice in Indiana (license number 06004960A) and her current practice location is
2801 Evans Ave, Valparaiso, Indiana. She can be reached at her office (for appointments etc.) via phone at
(219) 464-9621.
NPI number for Susan Antrim is 1689940777 and her current mailing address is 601 Post St, Wanatah, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689940777.
Healthcare Provider's Profile
Full Name | Susan Antrim |
---|
Gender | Female |
---|
Speciality | Physical Therapy Assistant |
---|
Location | 2801 Evans Ave, Valparaiso, Indiana |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689940777
- Provider Enumeration Date: 03/22/2012
- Last Update Date: 02/25/2015
Medical Identifiers
Medical identifiers for Susan Antrim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689940777 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 160.005856 (Illinois) | Secondary |
225200000X | Physical Therapy Assistant | 06004960A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Antrim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Susan Antrim, PTA 601 Post St, Wanatah, IN 46390-9581 Ph: (708) 257-7893 | Susan Antrim, PTA 2801 Evans Ave, Valparaiso, IN 46383-6940 Ph: (219) 464-9621 |
Reviews and Comments