Sue Khammar, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

111618 Issued in TX

Practice address

4140 Tamworth Rd
Fort Worth, TX 76116-8122

Phone

(817) 386-5500

Fax

(817) 386-5500

NPI assigned

Feb 13, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cowtown Pediatrix Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Fort Worth, TX
  • NPI 1821489121
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1003230822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 TAMWORTH RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761168122",
            "telephone_number": "817-386-5500",
            "fax_number": "817-386-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 TAMWORTH RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761168122",
            "telephone_number": "817-386-5500",
            "fax_number": "817-386-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAMMAR",
        "first_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "111618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebram Khalil
• Ghali Amir Khalil, MD
• Reza Khalili, MD
• Shehryar Khaliqdina, MD
• George Souhel Khammar, MD
• Johnny Khamphouseng, LMT
• Ahsan Ahmed Khan, DO
• Aisha Khan, M.D.
• Aisha Noreen Khan
• Amal Maha Khan, DO

• Pediatric Occupational Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.