Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1538404025 Individual Practitioner Female Practitioner

Susan Andre , RPT

Specialist • Providence, RI

Professional Overview & Biography Verified Profile Summary

Susan Andre, RPT is a registered healthcare professional specializing in Specialist in Providence, RI. Practice services are available at 455 DOUGLAS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

455 Douglas Ave

Providence, RI 029082542

Telephone 4015538600
Associated Practice Facility / Clinic
🏢 Berkshire Place Ltd. Facility NPI 1457463077

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.8 Yrs
State Avg: 34.6 Yrs
Regional Practice Density
115 Specialists

Practicing in Providence, RI (216 Statewide)

Telehealth Adoption Rate
0.9% 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 RI PT01292

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 Physical Therapy
PT01292 (RI)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Tamra Lavoie

Specialist

NPI 1053656280
Elizabeth Grinavic , PT

Physical Therapist

NPI 1174868483

Physical Therapist

Ashley Lopes , COTA, L

Occupational Therapy Assistant

NPI 1336484583

Certified Occupational Therapy Assistant, L

Clara Clark

Speech-Language Pathologist

NPI 1346584679
Deborah Levesque , PTA

Physical Therapy Assistant

NPI 1760726095

Physical Therapist Assistant

Jacqueline Sias

Physical Therapist

NPI 1922279934

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 10, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 10, 2012

Registered at 455 DOUGLAS AVE, PROVIDENCE, RI 029082542 (Tel: 4015538600)

📍
Updated Business Mailing Address December 10, 2012

Registered at 455 DOUGLAS AVE, PROVIDENCE, RI 029082542 (Tel: 4015538600)

👤
Provider Name / Credentials Updated December 10, 2012

Recorded as SUSAN ANDRE, RPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2012

Specialist (License #PT01292 in RI)

🟢
Initial NPI Registration & Enumeration December 10, 2012

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: 1538404025
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2012
Last Update: December 10, 2012
Sole Proprietor: Yes

Mailing Address

455 Douglas Ave

Providence, RI 029082542

Phone: 4015538600

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.