Susan Michelle Probasco, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC003223L Issued in PA

Practice address

1512 Westview Dr
Coopersburg, PA 18036-3137

Phone

(610) 967-5468

NPI assigned

Mar 6, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033249701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 WESTVIEW DR",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180363137",
            "telephone_number": "610-967-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 WESTVIEW DR",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180363137",
            "telephone_number": "610-967-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROBASCO",
        "first_name": "SUSAN",
        "middle_name": "MICHELLE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC003223L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019327410004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kunal G Patel
• Shailesh H. Patel, RPH
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01093)
• Laura Phillips
• Kimberly Poehlmann, DPT
• Doreen Quinn
• Stacy K Rademacher Vance, PH.D.
• Jacquie Sue Rademacher, RN
• Stacy Rawling, MS,OTR/L
• Raymond Kowalcyk, PH.D.

• Occupational Therapist in Coopersburg, PA
• Providers in Coopersburg, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.