Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Jane Visda Suarez, LPT

Individual provider Physical Therapist · NPI 1124311261

Mary Jane Visda Suarez, LPT is a Physical Therapist in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2011

Practice location Address checks out

3230 Reynolda Rd
Winston Salem, NC 27106-3040
Phone: (336) 416-1813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 10192 (NC)

Record details

NPI number1124311261
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPT
Sole proprietorYes
NPI enumeratedMay 23, 2011
Last updated in NPPESMay 26, 2011

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