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NPI Code Detail

MEDICARE: SUSAN M ADDAMO PT, DPT

MEDICARE:   SUSAN M ADDAMO  PT, DPT
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
1225100000XPhysical Therapist3288-24WI

General Provider Information

NPI Number : 1003762212
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN M ADDAMO PT, DPT
Provider Business Mailing Address
First Line : 6 CHESTERTON CIR
Second Line :
City : MADISON
State : WI
Zip : 53717-1082
Country : US
Telephone Number : 608-215-4160
Fax Number :
Provider Business Practice Location Address
First Line : 545 W DAYTON ST
Second Line :
City : MADISON
State : WI
Zip : 53703-1967
Country : US
Telephone Number : 608-442-2143
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ SUSAN M ADDAMO PT, DPT” Practice Location

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