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SUSAN MAIS-REQUEJO D.P.T. NPI 1730383506


NPI Information

NPI: 1730383506
Provider Name: SUSAN MAIS-REQUEJO, D.P.T.
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
2819 JOSIE AVE
LONG BEACH, CA
ZIP 90815
Phone: (562) 743-3761
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Susan Mais-requejo, D.P.T. is an orthopedic physical therapist in Long Beach, CA with 34 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Susan Mais-requejo, D.P.T. NPI is 1730383506. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2819 JOSIE AVE
LONG BEACH, CA
ZIP 90815-515
Phone: (562) 743-3761
Fax: (596) 496-3628

The enumeration date for this NPI number is 6/13/2007 and was last updated on 4/30/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251X0800XPhysical TherapistOrthopedicPT18717CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WPT18717AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPPIN
2PT181717OTHERCALIFORNIALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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