SUSAN BAE (NPI# 1831516038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831516038 |
| Entity Type | Individual |
| Full Name | SUSAN BAE |
| Credential | MSPT |
| Practice Address |
5001 Ststesman Dr Irving TX 75063 |
| Practice Telephone | 8772825613 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1103526 | KS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
60323451 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174575724 | Susan S. Bae | Dentist | 710 S Myrtle Ave # 312, Monrovia, CA 91016-3423 | 2006-05-16 |
| 1114494036 | Susan Ann Bae | Behavior Technician | 17911 Sky Park Cir Ste E, Irvine, CA 92614-4303 | 2018-10-29 |
| 1427543800 | Susan Bae | Dentist | 4000 La Rica Ave, Suite D, Baldwin Park, CA 91706 | 2018-06-27 |
| Street Address |
5001 STSTESMAN DR |
| City | IRVING |
| State | TX |
| Zip Code | 75063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386288868 | Fiesta Lifecare Pharmacy 8 LLC | Pharmacy | 412 E Riley St, Freer, TX 75063 | 2019-10-29 |
| 1013578491 | Bobbie Snow Masenda | Nurse Practitioner | 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 | 2019-06-26 |
| 1164989620 | Ellen Green | Occupational Therapist | 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 | 2019-02-20 |
| 1417412503 | Heda Enterprises, Pllc | Optometrist | 2400 Martket Place Blvd, # 180, Irving, TX 75063 | 2019-02-04 |
| 1861956542 | Hannah Kennedy | Specialist/Technologist | 8249 Ranchview Dr Apt 3087, Irving, TX 75063 | 2019-01-26 |
| 1447732805 | Ziprad Inc | Clinic/Center | 7750 N Macarthur Blvd Ste 120-365, Irving, TX 75063 | 2018-09-02 |
| 1457831646 | Laura Robinson | Specialist/Technologist | 8641 Mill Creek Rd, Irving, TX 75063 | 2018-08-16 |
| 1457845208 | Padmaja Jagdish Ambre | Nurse Practitioner | 516, Raton Pass, Irving, TX 75063 | 2018-06-15 |
| 1407394588 | Optum Infusion Services 500, Inc. | Pharmacy | 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 | 2017-02-08 |
| 1376086561 | Mika Claire Smith | Social Worker | 1175 Kinwest Pky, #100, Irving, TX 75063 | 2016-11-21 |
| Find all providers in zip 75063 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417447608 | Justin Engle | Physical Therapist | 5910 N Macarthur Blvd Ste 133, Irving, TX 75039-3886 | 2018-05-14 |
| 1558521799 | Bobby Rance Delaney | Physical Therapist | 906 Sam Hill St, Irving, TX 75062-3622 | 2008-06-11 |
| 1992851661 | Amy Gaye Briggs | Physical Therapist | 330 Las Colinas Blvd E Apt 112, Irving, TX 75039-5543 | 2007-01-26 |
| 1033773239 | Christine Hernandez | Physical Therapist | 2120 N Macarthur Blvd Ste 100, Irving, TX 75061-2260 | 2019-04-24 |
| 1023402146 | Seth Manly | Physical Therapist | 2001 N Macarthur Blvd, Suite 550, Irving, TX 75061-2256 | 2015-03-26 |
| 1477885069 | Abdallah Zuhdi Hasan | Physical Therapist | 5001 Statesman Dr, Irving, TX 75063-2414 | 2010-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837889 | Jeremy Tan | Physical Therapist | 505 S Friendswood Dr Ste 101, Friendswood, TX 77546-2254 | 2020-10-06 |
| 1184232100 | Cindy Hon Pt Pllc | Physical Therapist | 3832 Gildas Path, Pflugerville, TX 78660-4168 | 2020-07-15 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1790300226 | Jave Del Rosario | Physical Therapist | 3601 N Macgregor Way Ste 514, Houston, TX 77004-8004 | 2020-06-10 |
| 1922634724 | Carra Dudley | Physical Therapist | 415 E Parkwood Ave, Friendswood, TX 77546-5149 | 2020-03-13 |
| 1013542513 | Alexis Nicole Shoope | Physical Therapist | 3300 Cummins St Apt 2329, Houston, TX 77027-5992 | 2020-03-05 |
| 1861026437 | Robin Elizabeth Mcgee | Physical Therapist | 2555 Gulf Fwy S Ste 400, League City, TX 77573-6742 | 2020-02-23 |
| 1811520612 | Christopher William Chenault X | Physical Therapist | 14857 Southwest Fwy # C303, Sugar Land, TX 77478-5016 | 2020-02-20 |
| 1770116584 | Jordan William Ordoyne | Physical Therapist | 545 Creekside Xing Ste 138, New Braunfels, TX 78130-4271 | 2020-02-20 |
| 1972136851 | Nicole Marie Baker | Physical Therapist | 9180 Pinecroft Dr, Shenandoah, TX 77380-2794 | 2020-02-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SUSAN BAE.
| 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.