Individual provider Active NPI

Susan H. Kaplan, PHD, OTR

  • Occupational Therapist
  • Eagle River, AK
National Provider Identifier
1033425442
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1643 Issued in AK
Practice address
19635 Delphin Cir
Eagle River, AK 99577-8706
Phone
(907) 350-3651
Fax
(907) 786-4440
NPI assigned
Aug 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1643 AK Primary

Addresses

Primary practice location

19635 Delphin Cir
Eagle River, AK 99577-8706

Mailing address

19635 Delphin Cir
Eagle River, AK 99577-8706
Phone (907) 350-3651

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1643AKMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1033425442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19635 DELPHIN CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778706",
            "telephone_number": "907-350-3651",
            "fax_number": "907-786-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19635 DELPHIN CIR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778706",
            "telephone_number": "907-350-3651",
            "fax_number": "907-786-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "SUSAN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "PHD, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "1643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.