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

Individual provider Orthopedic Physical Therapist · NPI 1730383506

Susan Mais-Requejo, DPT is a Physical Therapist in Private Practice in Long Beach, California. Qualified in 1990, 36 years ago. Practices with California State University Long Beach, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
36
Licensed in
CA
In the registry since
2007
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2819 Josie Ave
Long Beach, CA 90815-1515
Phone: (562) 743-3761
Fax: (596) 496-3628
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PT18717 (CA)

Record details

NPI number1730383506
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 13, 2007
Last updated in NPPESApril 30, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice California State University Long Beach — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Long Beach