Provider Demographics
NPI:1043510555
Name:HARRINGTON, SUSAN ANNE (PT)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:ANNE
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:624 WELLS CT
Mailing Address - Street 2:UNIT 501
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-5323
Mailing Address - Country:US
Mailing Address - Phone:810-650-8381
Mailing Address - Fax:
Practice Address - Street 1:2025 INDIAN ROCKS RD S
Practice Address - Street 2:LARGO MEDICAL CENTER
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33774-1035
Practice Address - Country:US
Practice Address - Phone:810-650-8381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-31
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 28010225100000X, 2251G0304X, 2251N0400X
MI55010038022251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics