MS. SUSAN MCCOURT (P.T.) – Physical Therapist, NPI 1629222864

MS. SUSAN MCCOURT (P.T.) is a healthcare provider. based in Wayland, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 5501011653 (MI). The NPI Number for MS. SUSAN MCCOURT (P.T.) is 1629222864

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MS. SUSAN MCCOURT (P.T.)
NPI
1629222864
Phone
(269) 792-4440
Address
709 W. SUPERIOR
Enumeration Date
14 November 2008
Last Update Date
2 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5176725777
Graduation Year
2003 (23 years ago)
PAC ID
4183059413
Group Practice PAC ID
6901165893
Professional Enrollment ID
I20200115001056
Address ID
MI488432432HO846XXAVEX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for MS. SUSAN MCCOURT (P.T.)

  • 709, East Superior Street, Wayland, Allegan County, Michigan, 49348, United States

    WAYLAND, MI 49348

    Phone: (269) 792-4440

    Type: Location

  • 607, Dewey Avenue Northwest, Grand Rapids, Kent County, Michigan, 49504, United States

    STE 300

    GRAND RAPIDS, MI 495047335

    Phone: (616) 304-1397

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200115001056IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49348)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901165893View full group profile
NameSpecialtyState
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Where can patients find MS. SUSAN MCCOURT (P.T.)'s NPI?
You can confirm MS. SUSAN MCCOURT (P.T.) with NPI 1629222864; it appears in the national provider directory.
Is MS. SUSAN MCCOURT (P.T.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MS. SUSAN MCCOURT (P.T.)?
The page reflects Physical Therapist for MS. SUSAN MCCOURT (P.T.). Clinical services aligned with this taxonomy classification.
Does MS. SUSAN MCCOURT (P.T.) practice in Michigan?
You will see Wayland, Michigan on file for MS. SUSAN MCCOURT (P.T.) alongside any extra practice locations.
Is MS. SUSAN MCCOURT (P.T.) a real provider?
This page reflects official NPPES data for NPI 1629222864. Always confirm identity and privileges with the practice and licensing boards.

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