SUSAN E HACKER (NPI# 1790968246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790968246 |
| Entity Type | Individual |
| Full Name | SUSAN E HACKER |
| Credential | RPT |
| Practice Address |
111 Dodge St Beverly MA 01915-1827 |
| Mailing Address |
23 Judson St Beverly MA 01915-4341 |
| Practice Telephone | 9789211182 |
| Mailing Telephone | 9789215278 |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
AH 8181-PT | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
111 DODGE ST |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245757335 | Elizabeth Putnam | Developmental Therapist | 111 Dodge St, Beverly, MA 01915-1827 | 2017-08-29 |
| 1144750878 | Kaiysa Mendy | Speech-Language Pathologist | 111 Dodge St, Beverly, MA 01915-1827 | 2017-06-14 |
| 1932635208 | Casey Haskell | Occupational Therapist | 111 Dodge St, Beverly, MA 01915-1827 | 2017-05-05 |
| 1609312362 | Kara Morgan Walsh | Occupational Therapist | 111 Dodge St, Beverly, MA 01915-1827 | 2017-01-18 |
| 1477007920 | Elizabeth Stedman | Social Worker | 111 Dodge St, Beverly, MA 01915-1827 | 2016-08-12 |
| 1073066726 | Karen Musto-clarke | Health Educator | 111 Dodge St, Beverly, MA 01915-1827 | 2016-07-29 |
| 1134570831 | Mary Brennan | Speech-Language Pathologist | 111 Dodge St, Beverly, MA 01915-1827 | 2016-06-24 |
| 1881045771 | Bernadette Cruz | Social Worker | 111 Dodge St, Beverly, MA 01915-1827 | 2016-06-22 |
| 1952765224 | Alyssa Pratt | Developmental Therapist | 111 Dodge St, Beverly, MA 01915-1827 | 2016-04-12 |
| 1447619515 | Krystina Mistretta | Physical Therapist | 111 Dodge St, Beverly, MA 01915-1827 | 2016-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801070917 | Kathleen Mary Harris | Physical Therapist | 111 Dodge Street, Beverly, MA 01915 | 2007-12-26 |
| 1104052075 | Debra Anne Mistretta | Physical Therapist | 111 Dodge St, Beverly, MA 01915-1827 | 2009-06-05 |
| 1326272394 | Holly A Knapp | Physical Therapist | 111 Dodge St, Beverly, MA 01915-1827 | 2009-05-06 |
| 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.