Active NPI
Susana Chacon, OTR/L
- Occupational Therapist
- North Augusta, SC
National Provider Identifier
1003039660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT001387
- Practice address
- 516 Grant Ave
North Augusta, SC 29841-3632 - Phone
- (706) 825-2996
- Fax
- (855) 232-8604
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT001387 | GA | Primary |
Addresses
Primary practice location
516 Grant Ave
North Augusta, SC 29841-3632
Mailing address
516 Grant Ave
North Augusta, SC 29841-3632
Phone (706) 825-2996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1003039660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 GRANT AVE",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298413632",
"telephone_number": "706-825-2996",
"fax_number": "855-232-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 GRANT AVE",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298413632",
"telephone_number": "706-825-2996",
"fax_number": "855-232-8604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACON",
"first_name": "SUSANA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT001387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Augusta, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.