Susan C Petersen, PT
Physical Therapist in Private Practice · Los Gatos
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
- Since medical school
- 34 years
- Graduated 1992
On the public record
- Medicare does not list them as allowed to order and refer
Offices
1 location · California Luna Care Physical Therapy PC · 769 clinicians in this group
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Susan C Petersen’s office at (866) 525-3175 to ask if they take your plan before you enroll.
California Medical Board record
Licence C18793 · Cancelled
Licence status: Cancelled · since 1957 · University of Manitoba Faculty of Medicine.
License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Professional record
- NPI
- 1235508581
- Licence
- CA 18793California C18793: Cancelled
- Gender
- Female
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 2012 Phalarope Ct, Costa Mesa, CA, 92626
- NPI first listed
- 2015-09-16
- NPI last updated
- 2015-09-16
This is when the NPI record was last certified, not a medical board exam.