MEDICARE: SUSAN T. MCGARRY PT

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	2251N0400X	Neurology Physical Therapist	PT013628	OH
2	225100000X	Physical Therapist	1103583	KS

General Provider Information

NPI Number	:	1215145602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN T. MCGARRY PT

Provider Business Mailing Address
First Line	:	3950 JACOB HILLS CT
Second Line	:
City	:	BELLBROOK
State	:	OH
Zip	:	45305-1378
Country	:	US
Telephone Number	:	316-706-1767
Fax Number	:

Provider Business Practice Location Address
First Line	:	7677 YANKEE ST STE 210
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-3475
Country	:	US
Telephone Number	:	937-401-6109
Fax Number	:

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

Provider Enumeration Date	:	05/18/2007
Last Update Date	:	08/14/2023

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