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Active NPI 1568789733 Individual Practitioner Female Practitioner

Susan Korem , LMT, NCTMB

Specialist • Eustis, FL

Professional Overview & Biography Verified Profile Summary

Susan Korem, LMT, NCTMB is a registered healthcare professional specializing in Specialist in Eustis, FL. Practice services are available at 2105 PREVATT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2105 Prevatt St

Eustis, FL 327266131

Telephone 3524091203
Associated Practice Facility / Clinic
🏢 Musculoskeletal Rehab, Inc. Facility NPI 1982720108

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Eustis, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Eustis, FL (3036 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License FL MA23252

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
C8880 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1063770584

Doctor of Chiropractic

Shamaya Chah , LMT

Massage Therapist

NPI 1114056728

Licensed Massage Therapist

NPI 1316925084

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 28, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 28, 2010

Registered at 2105 PREVATT ST, EUSTIS, FL 327266131 (Tel: 3524091203)

📍
Updated Business Mailing Address April 28, 2010

Registered at 2105 PREVATT ST, EUSTIS, FL 327266131 (Tel: 3524091203)

👤
Provider Name / Credentials Updated April 28, 2010

Recorded as SUSAN KOREM, LMT/NCTMB

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2010

Specialist (License #MA23252 in FL)

🟢
Initial NPI Registration & Enumeration April 28, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568789733
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2010
Last Update: April 28, 2010
Sole Proprietor: Yes

Mailing Address

2105 Prevatt St

Eustis, FL 327266131

Phone: 3524091203

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.