Susan Joan Thompson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

108722 Issued in TX

Practice address

2201 Long Prairie Rd
Suite 107, #810
Flower Mound, TX 75022-4832

Phone

(972) 375-8618

Fax

(302) 370-8618

NPI assigned

Jul 31, 2008

Last updated

Jan 1, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230768000000",
    "number": "1083870885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 LONG PRAIRIE RD",
            "address_2": "SUITE 107, #810",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224832",
            "telephone_number": "972-375-8618",
            "fax_number": "302-370-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 LONG PRAIRIE RD",
            "address_2": "SUITE 107, #810",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224832",
            "telephone_number": "972-375-8618",
            "fax_number": "302-370-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "SUSAN",
        "middle_name": "JOAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2009-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "108722",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "13245",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meagan Renae Thomas, LCSW
• Renee Thomas
• Shema Kottayadiyil Thomas, OTD, OTR/L
• Tilu Thomas
• Cassie Brianne Thompson, PT
• Kandi Thornton, BCBA
• Shelby Thornton, RBT
• Tiffany Smith Counseling, Inc.
• Michael Timko, PT
• Timothy Dunn Chiro Enterprise LLC

• Occupational Therapist in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2009; 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.