MRS. SUSAN JANE RICHARD (NPI# 1093996217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093996217 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN JANE RICHARD |
| Credential | P.T. |
| Practice Address |
31 Lake St Gardner MA 01440-3879 |
| Practice Telephone | 9786324432 |
| Mailing Telephone | 9786324432 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2007-11-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
2156 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033270160 | Susan M Richard | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-12-13 |
| Street Address |
31 LAKE ST |
| City | GARDNER |
| State | MA |
| Zip Code | 01440-3879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962412841 | Kathy Lynn Hall | Counselor | 31 Lake St, Suite 110, Gardner, MA 01440-3879 | 2006-08-09 |
| 1386149359 | Elizabeth Jane Ledeboer | Speech-Language Pathologist | 31 Lake St, Gardner, MA 01440-3879 | 2018-03-29 |
| 1558866921 | Julie Ann Blake | Health Educator | 31 Lake St, Gardner, MA 01440-3879 | 2018-03-28 |
| 1669974960 | Karen Jay Brocksmith | Developmental Therapist | 31 Lake St, Gardner, MA 01440-3879 | 2018-03-02 |
| 1295237758 | Sarah Doiron | Speech-Language Pathologist | 31 Lake St, Gardner, MA 01440 | 2018-03-01 |
| 1750883328 | April Lynne Saner | Developmental Therapist | 31 Lake St, Gardner, MA 01440-3879 | 2018-02-28 |
| 1568917094 | Colby L Monette | Counselor | 31 Lake St, Gardner, MA 01440-3879 | 2016-08-25 |
| 1083167720 | Mary Ann Cynthia Kairouz | Counselor | 31 Lake St, Gardner, MA 01440-3879 | 2016-07-29 |
| 1720445406 | Melanie M Barber | Social Worker | 31 Lake St, Gardner, MA 01440-3879 | 2016-01-26 |
| 1538524780 | Amanda Gallant | Day Training/Habilitation Specialist | 31 Lake St, Gardner, MA 01440-3879 | 2015-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| 1528563392 | Seth Adam Wytrwal | Chiropractor | 31 Lake St Ste 151, Gardner, MA 01440 | 2018-03-26 |
| 1184141632 | Diane M. Wilson | Counselor | 205 School St. #202, Gardner, MA 01440 | 2017-08-25 |
| 1346778511 | Bonnie Jean Wallace | Counselor | 205 School St., # 202, Gardner, MA 01440 | 2017-05-31 |
| 1598212144 | Simon Hawes | Social Worker | 6 Lake Street, Gardner, MA 01440 | 2016-09-01 |
| 1932555349 | Trinity Home Healthcare LLC | Home Health | 62 Parker Street. Suite 11, Gardner, MA 01440 | 2016-05-05 |
| 1811247208 | Laurie Anne Richard | Licensed Practical Nurse | 17 Tobey Street, Gardner, MA 01440 | 2012-09-13 |
| 1568739829 | Gaamha, Inc | Non-emergency Medical Transport (VAN) | 208 Coleman St. Ext., Gardner, MA 01440 | 2011-11-30 |
| 1275821522 | Marie Edith Woodard | Speech-Language Pathologist | 31 Lake St. Suite 180, Wachusett Criterion Early Intervention, Gardner, MA 01440 | 2011-07-20 |
| 1962725747 | Antonina Salvatrice Klauzinski | Nurse Practitioner | 32 Hospital Hill Rd., Gardner, MA 01440 | 2010-03-08 |
| Find all providers in zip 01440 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093995599 | Barbara Aucoin | Physical Therapist | 31 Lake St, Gardner, MA 01440-3879 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1649709551 | Erin Fitzgerald | Physical Therapist | 1555 Main St Unit 102, Tewksbury, MA 01876-4765 | 2017-06-06 |
| 1013455906 | Eileen Margaret Kirk | Physical Therapist | 49 Walnut St Bldg 3, Wellesley Hills, MA 02481-2108 | 2017-02-10 |
| 1083077754 | Judith Abuza | Physical Therapist | 245 Chestnut St, Florence, MA 01062-1406 | 2016-03-31 |
| 1114386992 | Karen Smith | Physical Therapist | 38 North St Apt 2, Hingham, MA 02043-2234 | 2016-02-22 |
| 1740649151 | Emily Kaczmarczyk | Physical Therapist | 1731 Beacon St Apt 1113, Brookline, MA 02445-5328 | 2016-02-12 |
| 1396153052 | Andrea Roush | Physical Therapist | 126 Phoenix Avenue, Building #2, Thom Anne Sullivan Early Intervention Program, Lowell, MA 01852 | 2014-07-25 |
| 1194072926 | Kathleen Schaefer Harrington | Physical Therapist | 24 Forest St, Rowley, MA 01969-1626 | 2012-08-10 |
| 1376825711 | The Village-child & Family Development, Inc. | Physical Therapist | 25 Adams St, Suite 104, Braintree, MA 02184-1911 | 2011-09-12 |
| 1538476379 | Sandra Lynn Brown | Physical Therapist | 23 Fram Dr, Mansfield, MA 02048-1695 | 2010-08-31 |
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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.