SUSAN MARIE DWYER (PT) – Physical Therapist, NPI 1104830769

SUSAN MARIE DWYER (PT) is a healthcare provider. based in Plains, Pennsylvania. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT018472 (PA). The NPI Number for SUSAN MARIE DWYER (PT) is 1104830769

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN MARIE DWYER (PT)
NPI
1104830769
Phone
(570) 823-7761
Address
1086 ROUTE 315
Enumeration Date
28 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5705867764
Graduation Year
1996 (30 years ago)
PAC ID
8820191026
Group Practice PAC ID
0840225736
Professional Enrollment ID
I20231213001243
Address ID
PA184119260CL1157XTRLX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,258 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

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Provider Addresses for SUSAN MARIE DWYER (PT)

  • 315, Broadway, Little Plains, Huntington, Suffolk County, New York, 11743, United States

    PRO REHABILITATION SERVICES

    PLAINS, PA 18702

    Phone: (570) 823-7761

    Fax: (570) 822-8033

    Mailing address matches the actual address.

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: 2023-12-13

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
I20231213001243IPhysical Therapist In Private PracticePATBD

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 18702)

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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: 0840225736View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Occupational Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticePA

Reviews

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Frequently asked questions

Where can patients find SUSAN MARIE DWYER (PT)'s NPI?
You can confirm SUSAN MARIE DWYER (PT) with NPI 1104830769; it appears in the national provider directory.
Is SUSAN MARIE DWYER (PT)'s NPI currently valid?
The extract we use shows SUSAN MARIE DWYER (PT) as active.
What kind of provider is SUSAN MARIE DWYER (PT)?
The page reflects Physical Therapist for SUSAN MARIE DWYER (PT). Clinical services aligned with this taxonomy classification.
Where does public data place SUSAN MARIE DWYER (PT)?
The snapshot lists Plains, Pennsylvania for SUSAN MARIE DWYER (PT); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.