Healthcare Provider Details

I. General information

NPI: 1447973359
Provider Name (Legal Business Name): SUSAN PIERCE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 02/28/2023
Certification Date: 02/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 WISE RD
HARMONY PA
16037-9221
US

IV. Provider business mailing address

17 CARRIAGE LANE
GROVE CITY PA
16127
US

V. Phone/Fax

Practice location:
  • Phone: 724-453-1496
  • Fax:
Mailing address:
  • Phone: 724-699-4521
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPT012148
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: