IndividualActive
John Susan, LPTA
NPI 1174785778 · Physical Therapy Assistant · Debary, FL
Provider details
- NPI number
- 1174785778
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- PTA 15708 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
147 Homestead Ave
Debary, FL 32713-3875
Phone: (386) 668-1156
Fax: (386) 668-2256
Street-level locationGet directions
Mailing address
Po Box 530241
Debary, FL 32753-0241
Registry dates
- Enumerated
- 2008-06-26
- Last updated
- 2010-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.