Active NPI
Susan Bunny Harrah, COTA/L
- Occupational Therapy Assistant
- Hico, WV
National Provider Identifier
1003252750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- C1415
- Practice address
- 66 Baughan Rd
Hico, WV 25854 - Phone
- (304) 658-4211
- NPI assigned
- May 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | C1415 | WV | Primary |
Addresses
Primary practice location
66 Baughan Rd
Hico, WV 25854
Mailing address
66 Baughan Rd
Hico, WV 25854
Phone (304) 658-4211
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1415 | WV | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1003252750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 BAUGHAN RD",
"city": "HICO",
"state": "WV",
"postal_code": "25854",
"telephone_number": "304-658-4211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 BAUGHAN RD",
"city": "HICO",
"state": "WV",
"postal_code": "25854",
"telephone_number": "304-658-4211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRAH",
"first_name": "SUSAN",
"middle_name": "BUNNY",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WV",
"license": "C1415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hico, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.