Susanna (Sunel) P. Van Der Walt, DPT
NPI 1124410519ActiveIndividual· Physical Therapist, Pediatrics· Albuquerque, NM
Physical Therapist, Pediatrics (DPT) in Albuquerque, New Mexico, licensed in NM, with an NPI issued in February 2015.
Overview
| NPI | 1124410519 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Feb 23, 2015 |
| Last updated in NPPES | Jan 1, 2021 |
| Certified by provider | Jan 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Pediatrics Primary | 2251P0200X | 4594 | NM |
| Physical Therapist, Orthopedic | 2251X0800X | 4594 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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