MEDICARE: SUSAN LUNARDI 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
1	225100000X	Physical Therapist	048397	NY
2	225100000X	Physical Therapist	307413	CA

General Provider Information

NPI Number	:	1710639570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN LUNARDI PT, DPT

Provider Business Mailing Address
First Line	:	43 VALLETTA CT
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94131-2827
Country	:	US
Telephone Number	:	650-450-3465
Fax Number	:

Provider Business Practice Location Address
First Line	:	693 MONTEREY BLVD
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94127-2346
Country	:	US
Telephone Number	:	650-450-3465
Fax Number	:

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

Provider Enumeration Date	:	01/24/2022
Last Update Date	:	03/20/2026

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