Active NPIIndividual providerSole proprietor

Cassandra Susi, ATC

Specialist/Technologist, Athletic Trainer in Winchester, Massachusetts

NPI Number1972161222
Practice location
600 Main St Ste 4, Winchester, MA 01890-4312
Fax
781-795-9924
Last updated
August 28, 2023

Cassandra Susi is a Specialist/Technologist, Athletic Trainer based in Winchester, MA. Cassandra Susi practices in Winchester, MA and has the professional credentials of ATC. The NPI Number for Cassandra Susi is 1972161222 and holds a License No. 27135 (MA). The current practice location address for Cassandra Susi is 600 Main St Ste 4, Winchester, MA 01890-4312 and can be reached out via phone at 781-925-7431 and via fax at 781-795-9924.

Provider Profile Details

NPI Number
1972161222
Provider Name
Cassandra Susi
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
600 Main St Ste 4, Winchester, MA 01890-4312
Phone Number
781-925-7431
Fax Number
781-795-9924
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
June 2, 2019
Last Update Date
August 28, 2023
Certification Date
August 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
600 Main St Ste 4
Winchester, MA 01890-4312
Zip
01890-4312
Phone Number
781-925-7431
Fax Number
781-795-9924
Winchester, MA 01890Get directions →

Provider Business Mailing Address Details

Address
576 Broadhollow RD
Melville, NY 11747-5002
City
Melville
State
NY
Zip
11747-5002
Phone Number
631-359-5800

License Information

License Number (1)
27135
License State (1)
MA
Taxonomy (1)
Physical Therapist · 225100000X
License State (2)
MA
Taxonomy (2)
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Cassandra Susi, ATC?

The NPI number of Cassandra Susi, ATC is 1972161222. It was assigned on June 2, 2019 and is currently active in the NPPES registry.

What is the specialty of Cassandra Susi, ATC?

Cassandra Susi, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in MA under license number 27135.

Where does Cassandra Susi, ATC practice?

The practice location is 600 Main St Ste 4, Winchester, MA 01890-4312. The office can be reached at 781-925-7431 (phone) or 781-795-9924 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972161222 directly on the NPPES registry website.

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