Active NPI
Susan E. Andre, O.T.R.
- Occupational Therapist
- Socorro, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-2026-0017
- Practice address
- 1202 Highway 60
Socorro, NM 87801-3914 - Phone
- (575) 835-1140
- NPI assigned
- Dec 20, 2007
- Last updated
- Jan 28, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT-2026-0017 | NM | Primary |
| Occupational Therapist | 225X00000X | 105821 | TX | |
| Hand Occupational Therapist | 225XH1200X | NU | ||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | NU |
Addresses
Primary practice location
1202 Highway 60
Socorro, NM 87801-3914
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
4843 Colleyville Blvd Ste 221
Colleyville, TX 76034-3986
Phone (972) 979-6577
Other practice location 2
12345 Alta Vista Rd Ste 113
Fort Worth, TX 76244-6436
Phone (682) 593-2550
Other practice location 3
4843 Colleyville Blvd Ste 221
Colleyville, TX 76034-3986
Phone (972) 979-6577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TXB115376 | Other | TX | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4843 Colleyville Blvd
Suite 221
Colleyville, TX 76034-3986
Phone (817) 576-7520
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.56 of 100
- Quality
- 89.48
- Improvement activities
- 40
- Cost
- 71.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-2026-0017 | NM | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Occupational Therapist | Current | Accepting new patients |
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
1827 SW Green Oaks Blvd
Ste 143
Arlington, TX 76017
Phone (512) 501-4783
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
4843 Colleyville Blvd
Ste 221
Colleyville, TX 76034
Phone (817) 576-7520
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
6420 N MacArthur Blvd
Ste 130
Irving, TX 75039
Phone (972) 402-8300
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Physical Therapist
- Plano, TX
- NPI 1538573746
Occupational Therapist
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1013191428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 HIGHWAY 60",
"city": "SOCORRO",
"state": "NM",
"postal_code": "878013914",
"telephone_number": "575-835-1140"
}
],
"practiceLocations": [
{
"address_1": "4843 Colleyville Blvd Ste 221",
"address_purpose": "LOCATION",
"city": "Colleyville",
"state": "TX",
"postal_code": "760343986",
"country_code": "US",
"telephone_number": "972-979-6577",
"fax_number": "972-979-6951",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12345 Alta Vista Rd Ste 113",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "762446436",
"country_code": "US",
"telephone_number": "682-593-2550",
"fax_number": "817-540-5633",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4843 Colleyville Blvd Ste 221",
"address_purpose": "LOCATION",
"city": "Colleyville",
"state": "TX",
"postal_code": "760343986",
"country_code": "US",
"telephone_number": "972-979-6577",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDRE",
"first_name": "SUSAN",
"middle_name": "E.",
"name_prefix": "Mrs.",
"credential": "O.T.R.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-20",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "OT-2026-0017",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "105821",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "TXB115376",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Socorro, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.