Susan Mayo, P.T.
Physical Therapist in Boise, ID. Individual provider (NPI-1).
NPI number1073842811
StatusActive
Last updated in NPPESDec 7, 2009
Details
- NPI
- 1073842811
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Susan Mayo
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 7, 2009
- Last updated
- Dec 7, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT-403 | ID | Yes |
Practice location
901 N Curtis RdBoise, ID 83706-1338
Phone 208-367-3315
Mailing address
3344 S Gekeler Ln Apt M106Boise, ID 83706-5268
Phone 209-304-1223
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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