MEDICARE: SUSAN ANNABELLE HYNES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305216874	VA

General Provider Information

NPI Number	:	1467261768
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN ANNABELLE HYNES

Provider Business Mailing Address
First Line	:	2000 WESTINGHOUSE DR STE 200
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-5238
Country	:	US
Telephone Number	:	724-343-4060
Fax Number	:

Provider Business Practice Location Address
First Line	:	236 CARMICHAEL WAY STE 303
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23322-2185
Country	:	US
Telephone Number	:	757-908-2106
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2025
Last Update Date	:	04/17/2026

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