SUSAN MCDANIEL (NPI# 1467685610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467685610 |
| Entity Type | Individual |
| Full Name | SUSAN MCDANIEL |
| Credential | CMT |
| Practice Address |
450 Pitt Ave Sebastopol CA 95472-3747 |
| Mailing Address |
Po Box 2232 Sebastopol CA 95473-2232 |
| Practice Telephone | 7074867702 |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 172M00000X | Mechanotherapist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437568920 | Susan Mcdaniel | Registered Nurse | 13011 120th Ave, Ottumwa, IA 52501-8662 | 2014-08-08 |
| 1437410545 | Susan Lynn Mcdaniel | Nurse Practitioner | 4900 Kelley Hwy, Fort Smith, AR 72904 | 2012-06-05 |
| 1417185653 | Susan P. Mcdaniel | Marriage & Family Therapist | 1264 Higuera St, Suite 206, San Luis Obispo, CA 93401-3124 | 2009-06-25 |
| 1255592440 | Susan E Mcdaniel | Physical Therapy Assistant | 1550 Silveira Pkwy, San Rafael, CA 94903-4879 | 2008-06-19 |
| 1003874207 | Susan Holmes Mcdaniel | Psychologist | 777 S Clinton Ave, Rochester, NY 14620-1401 | 2006-05-04 |
| Street Address |
450 PITT AVE |
| City | SEBASTOPOL |
| State | CA |
| Zip Code | 95472-3747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003149279 | Diana Louise Trichilo | Clinical Neuropsychologist | 450 Pitt Ave, Suite 3, Sebastopol, CA 95472-3747 | 2009-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558916791 | Mellisa Nicole Elrod | Occupational Therapist | 1935 Gravenstein Hwy, Sebastopol, CA 95472 | 2019-08-05 |
| 1457820987 | Isabel Brooke Martinez | Acupuncturist | 961 Gravenstein Hwy South, # 100, Sebastopol, CA 95472 | 2018-11-14 |
| 1275025470 | Shahbano Syeda | Specialist/Technologist | 846/848 Gravenstein Hwy South, Sebastopol, CA 95472 | 2018-06-04 |
| 1467990812 | Mathew Metzgar | Marriage & Family Therapist | 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 | 2017-02-06 |
| 1760939318 | Andrea Kirk | Psychologist | 876 Gravenstein Hwy S., Suite 6, Sebastopol, CA 95472 | 2016-09-01 |
| 1548629371 | Stacy Simons | Massage Therapist | 103 Morris St Ste V, Sebastopol, CA 95472 | 2016-02-22 |
| 1619341880 | Carol Schmid | Counselor | 1800 N, Gravenstein Hwy, Sebastopol, CA 95472 | 2015-11-25 |
| 1801273727 | Aaron Martinez | Specialist/Technologist | 7441 Witter Road, Sebastopol, CA 95472 | 2015-04-29 |
| 1699167049 | Nia Kaye | Marriage & Family Therapist | 130 Petaluma Ave Ste 2c, Sebastopol, CA 95472 | 2015-02-23 |
| 1497091383 | Caitlin Marie Kirkman | Midwife | 5611 Hessel Ave, Sebastopol, CA 95472 | 2012-12-20 |
| Find all providers in zip 95472 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750847356 | Yayoi Lewis | Mechanotherapist | 1717 5th Ave, San Rafael, CA 94901-1810 | 2019-02-19 |
| 1346786381 | Professional Massage and Esthetics | Mechanotherapist | 13359 Poway Rd, #114, Poway, CA 92064-4625 | 2017-01-14 |
| 1316499916 | Suz Burroughs | Mechanotherapist | 2363 Boulevard Cir Ste 1, Walnut Creek, CA 94595-1173 | 2016-10-29 |
| 1205382280 | Robert Macdonald | Mechanotherapist | 3650 5th Ave, #201, San Diego, CA 92103-4235 | 2016-08-29 |
| 1407301070 | Katie Holly | Mechanotherapist | 20072 Sw Birch St Ste 190, Newport Beach, CA 92660-0799 | 2016-08-23 |
| 1306390083 | Ronda Ault Little | Mechanotherapist | 10386 Eve Way, Santee, CA 92071-2788 | 2016-08-10 |
| 1811344690 | Body Fix Therapies Inc | Mechanotherapist | 2322 Butano Dr Ste 214, Sacramento, CA 95825-0657 | 2016-05-20 |
| 1477914570 | Sherry Grahn-hull | Mechanotherapist | 97 Dobbins St Ste B, Vacaville, CA 95688-2700 | 2016-03-16 |
| 1326406042 | Spirals of Life Wellness Center | Mechanotherapist | 1660 Central Ave Ste F, Mckinleyville, CA 95519-4378 | 2016-02-09 |
| 1346615036 | Monica Marizette | Mechanotherapist | 5025 E Grant Ave, Fresno, CA 93727-3105 | 2015-12-06 |
| Find all providers with the same taxonomy | ||||
| City | SEBASTOPOL |
| Zip Code | 95472 |
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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.