SUSAN MARIE WILLEY (NPI# 1821212770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821212770 |
| Entity Type | Individual |
| Full Name | SUSAN MARIE WILLEY |
| Credential | PT |
| Practice Address |
929 N Saint Francis St Wichita KS 67214-3821 |
| Mailing Address |
8713 W 19th St N Wichita KS 67212-1426 |
| Practice Telephone | 3162688247 |
| Practice Fax Number | 3162917963 |
| Mailing Telephone | 3167210354 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
11-00793 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528257136 | Susan E Willey | Counselor | 921 Macinaw Rd, 2, South Lake Tahoe, CA 96150-3525 | 2007-10-19 |
| Street Address |
929 N SAINT FRANCIS ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982609293 | Moin A Shaikh | Internal Medicine | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2005-06-15 |
| 1356808869 | Jason Allen Steimle | Registered Nurse | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-02-21 |
| 1497229462 | Thomas Ryan Ambrose | Physical Therapist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-01-14 |
| 1992279939 | Keriann Shaw | Physical Therapist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-01-13 |
| 1689147779 | Shelsea Lies | Occupational Therapist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-01-10 |
| 1518430602 | Jessica Domnick | Speech-Language Pathologist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2019-01-10 |
| 1851867709 | Johnny Huy Nguyen | Emergency Medicine | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-10-18 |
| 1326522632 | Jennifer R Geisler | Physician Assistant | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-09-21 |
| 1649750654 | Edward Michael Asebedo | Radiology | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-08-19 |
| 1497234934 | Hospitalist Medicine Physicians of Kansas -tcg, LLC | Internal Medicine | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2018-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134564024 | Valerie Christine Wondra | Physical Therapist | 301 S Meridian Ave, Wichita, KS 67213 | 2013-05-06 |
| 1487139192 | Ryan Christopher Faflick | Physical Therapist | 4921 E 21st St N, Wichita, KS 67208-1602 | 2018-09-27 |
| 1184149171 | Sarah Page Woodruff | Physical Therapist | 2258 N Lakeway Cir, Wichita, KS 67205-1082 | 2017-08-10 |
| 1154676351 | Cecelia M Schmidt | Physical Therapist | 3223 N Oliver St, Wichita, KS 67220-2106 | 2012-07-13 |
| 1366636516 | Jan Lee Arnold | Physical Therapist | 550 N Hillside St, Wichita, KS 67214-4910 | 2007-08-30 |
| 1760690861 | Mary K. Noller | Physical Therapist | 929 N Saint Francis St, Wichita, KS 67214-3821 | 2007-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558732651 | Kristin Wier | Physical Therapist | 5808 W 79th St, Prairie Village, KS 66208-4605 | 2015-10-14 |
| 1699192757 | Courtney Furman Loepker | Physical Therapist | 7700 W 143rd St, Overland Park, KS 66223-2103 | 2014-03-26 |
| 1427375690 | Rebecca Beth Pokorny | Physical Therapist | 2720 W 27th St, Hays, KS 67601-9708 | 2010-04-28 |
| 1700049244 | Children's Physical Therapy Associates | Physical Therapist | 2844 W 118th Ter, Leawood, KS 66211-3044 | 2008-07-04 |
| 1205951811 | Sandra Kay Jarratt | Physical Therapist | 800 S 55 Street, Special Education Office Turner Unified School Dist 202, Kansas City, KS 66106 | 2007-03-20 |
| 1023142049 | Angela Sue Pedrotti | Physical Therapist | 5600 Cherokee Cir, Fairway, KS 66205-3301 | 2007-03-14 |
| 1104902337 | Childrens Therapy Group Inc | Physical Therapist | 7620 Metcalf Avenue, Suite M, Overland Park, KS 66204-2996 | 2006-10-31 |
| 1538241450 | Brenna C Randall | Physical Therapist | 1347 Sw Collins Ave, Topeka, KS 66604-2619 | 2006-10-19 |
| 1912087677 | Stephanie Novacek I | Physical Therapist | 5520 College Blvd Ste 340, Overland Park, KS 66211-2429 | 2006-10-17 |
| 1538193941 | Catherine Petra Pamperin | Physical Therapist | 8525 Constance, Lenexa, KS 66215-2449 | 2006-07-10 |
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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.