Active NPI
Susan Fitzgerald
- Occupational Therapist
- Plano, TX
National Provider Identifier
1073378212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 106197
- Practice address
- 1101 Ohio Dr Ste 105
Plano, TX 75093-5331 - Phone
- (972) 599-9594
- NPI assigned
- Feb 16, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 106197 | TX | Primary |
Addresses
Primary practice location
1101 Ohio Dr Ste 105
Plano, TX 75093-5331
Mailing address
600 Joshua Rd
Lantana, TX 76226-4361
Phone (214) 505-8685
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 |
|---|---|---|---|
| 106197 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Hand Therapy PC | Occupational Therapist | Current | Accepting new patients |
Locations
1101 Ohio Dr
Ste 105
Plano, TX 75093
Phone (972) 559-9594
Organizations & group practices 1
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": "1708041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1073378212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 JOSHUA RD",
"city": "LANTANA",
"state": "TX",
"postal_code": "762264361",
"telephone_number": "214-505-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 OHIO DR STE 105",
"city": "PLANO",
"state": "TX",
"postal_code": "750935331",
"telephone_number": "972-599-9594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "SUSAN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-16",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "106197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.