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DR. SUSANNA (SUNEL) P VAN DER WALT DPT
NPI 1124410519
Physical Therapist - Pediatrics in Albuquerque, NM

Active since February 23, 2015
5700 HARPER DR NE STE 250, ALBUQUERQUE, NM 87109(505) 828-2273 Get Directions Write a Review

NPPES record last updated: January 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Susanna (sunel) P Van Der Walt Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSANNA (SUNEL) P VAN DER WALT DPT (NPI 1124410519) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (4594) and active in the NPI registry since February 2015. She maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1124410519
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameDR. SUSANNA (SUNEL) P VAN DER WALTCredential: DPT
Location Address5700 HARPER DR NE STE 250Albuquerque, NM 87109-3588
Mailing Address30 Anasazi Trails LoopPlacitas, NM 87043-8760 · (505) 639-9937
Phone(505) 828-2273
Sole ProprietorNo
Enumeration DateFebruary 23, 2015
Last NPPES UpdateJanuary 1, 2021
NPPES CertifiedJanuary 1, 2021
✔ NPI 1124410519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in NM · 4594
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 4594 (NM)
5700 HARPER DR NE STE 250, Albuquerque, NM 87109
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Secondary Practice Location 1

Location 17609 Northridge Ave NEAlbuquerque, NM 87109-3011 · Phone (505) 476-0801

Other Identifiers 2

Medicaid10171568NM
Other326556NM · Medicare

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susanna (sunel) Van Der Walt's NPI number?

The NPI number for Susanna (sunel) Van Der Walt is 1124410519. It was assigned to this individual provider in the NPPES registry on February 23, 2015.

Where is Susanna (sunel) Van Der Walt located?

Susanna (sunel) Van Der Walt practices at 5700 Harper Dr NE Ste 250, Albuquerque, NM 87109. The listed phone number is (505) 828-2273.

What is Susanna (sunel) Van Der Walt's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Susanna (sunel) Van Der Walt was last updated on January 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.