AUDRE SUZANNE PT
NPI 1821577750
Physical Therapist - Geriatrics in San Rafael, CA

Q: What is Audre Suzanne's NPI number?

The NPI number for Audre Suzanne is 1821577750. It was assigned to this individual provider in the NPPES registry on August 10, 2018.

Q: What is Audre Suzanne's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Audre Suzanne was last updated on August 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 10, 2018

234 N SAN PEDRO RD, SAN RAFAEL, CA 94903(415) 479-3450 Get Directions Write a Review

NPPES record last updated: August 10, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Audre Suzanne Pt NPPES

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

AUDRE SUZANNE PT (NPI 1821577750) is an individual geriatrics provider in San Rafael, California, licensed in California (PT29846) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1821577750

Entity TypeIndividualFemale

Primary Taxonomy2251G0304X

Provider Legal NameAUDRE SUZANNECredential: PT

Location Address234 N SAN PEDRO RDSan Rafael, CA 94903-2858

Mailing Address234 N San Pedro RdSan Rafael, CA 94903-2858

Phone(415) 479-3450

Sole ProprietorNo

Enumeration DateAugust 10, 2018

✔ NPI 1821577750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

License✔ Licensed in CA · PT29846

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

234 N SAN PEDRO RD, San Rafael, CA 94903

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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PETER HOWELL BEHR III OTR/L

Occupational Therapist