SUSAN R MCKENNA (NPI# 1326123605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326123605 |
| Entity Type | Individual |
| Full Name | SUSAN R MCKENNA |
| Other Name | SUSAN R KELLEY |
| Credential | DPT |
| Practice Address |
11112 Pacific Ave S Tacoma WA 98444-5749 |
| Mailing Address |
Po Box 2170 Sumner WA 98390-0480 |
| Practice Telephone | 2535371103 |
| Practice Fax Number | 2535371087 |
| Mailing Telephone | 2538402313 |
| Mailing Fax Number | 2538406340 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT00008841 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE BLUE SHIELD | 0472MC | 01 |
| WA | CRIME VICTIMS | 8906780 | 01 |
| WA | DEPT OF LABOR & INDUSTRY | 199810 | 01 |
| WA | 8433211 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801140314 | Susan Jean Mckenna | Respiratory Therapist, Registered | 29 Sinclair Dr, Greenlawn, NY 11740-2620 | 2012-11-06 |
| 1003466335 | Susan Patricia Mckenna | Nurse Practitioner | 1524 Atwood Ave Ste 220, Johnston, RI 02919-3278 | 2019-09-18 |
| 1902303290 | Susan Lee Mckenna | Clinic/Center | 2730 University Blvd W, Silver Spring, MD 20902-1905 | 2018-04-12 |
| 1447704705 | Susan Alanna Mckenna | Nurse Practitioner | 153 S Main St, Newtown, CT 06470-2791 | 2016-08-04 |
| 1588719157 | Susan Mckenna | Pediatrics | 1200 N State St, Los Angeles, CA 90033-1029 | 2007-01-24 |
| Street Address |
11112 PACIFIC AVE S |
| City | TACOMA |
| State | WA |
| Zip Code | 98444-5749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649222944 | Stephanie J Munson | Physical Therapist | 11112 Pacific Ave S, Tacoma, WA 98444-5749 | 2006-05-16 |
| 1508322835 | Rachel Ertel | Occupational Therapist | 11112 Pacific Ave S, Tacoma, WA 98444-5749 | 2019-02-12 |
| 1164954657 | Rebecca E Steffens | Physical Therapist | 11112 Pacific Ave S, Tacoma, WA 98444-5749 | 2017-04-03 |
| 1700257367 | Zoe Hickam | Massage Therapist | 11112 Pacific Ave S, Tacoma, WA 98444-5749 | 2015-10-08 |
| 1265718548 | Michael Robert Myers | Physical Therapist | 11112 Pacific Ave S, Tacoma, WA 98444-5749 | 2011-10-31 |
| 1477867141 | Elizabeth T Ostrand | Physical Therapist | 11112 Pacific Ave S, Tacoma, WA 98444-5749 | 2010-08-04 |
| 1710131032 | Joshua David Weaver | Physical Therapist | 11112 Pacific Ave S, Tacoma, WA 98444-5749 | 2008-11-13 |
| 1538345152 | Primavera Cesena Rodriguez | Massage Therapist | 11112 Pacific Ave S, Tacoma, WA 98444-5749 | 2008-01-14 |
| 1194928648 | Vanessa Sylvan | Physical Therapist | 11112 Pacific Ave S, Tacoma, WA 98444 | 2007-06-11 |
| 1437281086 | Apple Physical Therapy Ps | Durable Medical Equipment & Medical Supplies | 11112 Pacific Ave S, Tacoma, WA 98444-5749 | 2007-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356820039 | Reuben Edward Robinson | Massage Therapist | 10603 16th Avenue Ct S Apt 8, Tacoma, WA 98444 | 2018-08-13 |
| 1720507601 | Jayna Marie Owens | Counselor | 14016 A Street South, Tacoma, WA 98444 | 2017-09-12 |
| 1578011425 | Kyleigh Harlow | Dietitian, Registered | 11011 Park Ave S, C212, Tacoma, WA 98444 | 2016-09-20 |
| 1104220565 | Kehau Tester | Specialist | 9020 A Street, Tacoma, WA 98444 | 2014-10-14 |
| 1669874061 | Andrea Dawn Mckamey | Massage Therapist | 101 138th St. E., 28, Tacoma, WA 98444 | 2014-09-17 |
| 1841609666 | Marci Oswald | Dental Hygienist | 130 131st Street South, Tacoma, WA 98444 | 2014-08-06 |
| 1841611829 | Lucas Victor Briggs | Physical Therapist | 223 140th St. South Suite # 700, Elite Physical Therapy, Tawma, WA 98444 | 2013-12-18 |
| 1457798092 | Dent Korsmo & Henry D.d.s., P.s. | Dentist | 12165 Pacific Ave, Suite A, Tacoma, WA 98444 | 2013-05-22 |
| 1740521566 | Kristine-cassandra B. Papa | Massage Therapist | 10202 Pacific Ave. S, Suite 215, Tacoma, WA 98444 | 2013-03-04 |
| 1356687941 | Matthew Hockin | Dentist | 223 140th Street South, Suite 800, Tacoma, WA 98444 | 2012-12-31 |
| Find all providers in zip 98444 | ||||
| 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 |
|---|---|---|---|---|
| 1306447677 | James Richard Cramer | Physical Therapist | 950 Pacific Ave Fl 8, Tacoma, WA 98402-4400 | 2020-11-03 |
| 1780297226 | Randy Wayne Cressler | Physical Therapist | 2315 6th Ave, Tacoma, WA 98403-1050 | 2020-08-25 |
| 1417584319 | Darrin Moy | Physical Therapist | 2021 S 8th St Unit B, Tacoma, WA 98405-3031 | 2020-03-23 |
| 1295368686 | Ross Obertean | Physical Therapist | 1407 E 72nd St Ste 100, Tacoma, WA 98404-5923 | 2020-02-13 |
| 1255972923 | Nathaniel Shelden | Physical Therapist | 311 S L St Fl 3, Tacoma, WA 98405-3720 | 2019-10-03 |
| 1518513167 | Nicholas Kaftan | Physical Therapist | 1901 S 72nd St Ste A1, Tacoma, WA 98408-1200 | 2019-08-09 |
| 1992206189 | Joseph Casey Olofsson | Physical Therapist | 3208 S 23rd St Ste 100, Tacoma, WA 98405-1607 | 2018-02-23 |
| 1043724024 | Kevin Wesley Mcclellan | Physical Therapist | 1802 S Union Ave Ste 100, Tacoma, WA 98405-1950 | 2017-11-28 |
| 1235653650 | Benjamin Lee Hannula | Physical Therapist | 1 N Tacoma Ave Ste 103, Tacoma, WA 98403-3131 | 2017-07-27 |
| 1881141661 | Bethany Nguyen | Physical Therapist | 10306 91st Street Ct Sw, Tacoma, WA 98498-1934 | 2016-09-08 |
| Find all providers in TACOMA | ||||
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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.