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Susan B. Anthony

NPI 1417504515ActiveIndividual· Physical Therapist· Brick, NJ

Physical Therapist in Brick, New Jersey, with an NPI issued in August 2019.

Overview

NPI1417504515
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 22, 2019
Last updated in NPPESAug 22, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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