MEDICARE: MRS. SUSAN ELIZABETH GREENWOOD M.S. , P.T.

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	014165	OH
2	225100000X	Physical Therapist	6410	CO
3	225100000X	Physical Therapist	J1-0002231	DE
4	225100000X	Physical Therapist	PT017370	PA

General Provider Information

NPI Number	:	1073608717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SUSAN ELIZABETH GREENWOOD M.S. , P.T.

Provider Business Mailing Address
First Line	:	170 TAYLOR STATION RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-4441
Country	:	US
Telephone Number	:	614-545-7900
Fax Number	:	614-545-7901

Provider Business Practice Location Address
First Line	:	7710 OLENTANGY RIVER RD STE 100
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-1353
Country	:	US
Telephone Number	:	614-841-3900
Fax Number	:	614-545-7901

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	10/12/2022

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