Individual provider Active NPI

Suzanne C. Brumfield, OTR/L, CLT

  • Occupational Therapist
  • Show Low, AZ
National Provider Identifier
1043623366
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-005547 Issued in AZ
Practice address
300 N Paloma
Show Low, AZ 85901-3600
Phone
(740) 645-2435
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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 OTH-005547 AZ Primary

Addresses

Primary practice location

300 N Paloma
Show Low, AZ 85901-3600

Mailing address

300 N Paloma
Show Low, AZ 85901-3600
Phone (740) 645-2435

Other practice location 1

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-0248

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

LicenseStateTypeSpecialty
OTH-005547AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bigfoot Occupational Therapy, LLC Occupational Therapist CurrentSince Dec 24, 2023 Accepting new patients
Summit Healthcare Association Past Accepting new patients
Summit Healthcare Association Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1043623366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N PALOMA",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859013600",
            "telephone_number": "740-645-2435",
            "fax_number": "928-367-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N PALOMA",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859013600",
            "telephone_number": "740-645-2435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E Show Low Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Show Low",
            "state": "AZ",
            "postal_code": "859017831",
            "country_code": "US",
            "telephone_number": "928-537-0248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUMFIELD",
        "first_name": "SUZANNE",
        "middle_name": "C.",
        "credential": "OTR/L, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-005547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.