Sue Ann Thomas, COTA/L

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

C1748 Issued in WV

Practice address

564 Fearer Rd
Friendsville, MD 21531-1213

Phone

(301) 746-4449

NPI assigned

Apr 22, 2010

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

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": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1093032682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 FEARER RD",
            "city": "FRIENDSVILLE",
            "state": "MD",
            "postal_code": "215311213",
            "telephone_number": "301-746-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 FEARER RD",
            "city": "FRIENDSVILLE",
            "state": "MD",
            "postal_code": "215311213",
            "telephone_number": "301-746-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SUE",
        "middle_name": "ANN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-22",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "WV",
            "license": "C1748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Friendsville Pharmacy Uphold LLC
• Clara Frances Hoover
• Jacqueline G Snelson, CRNP
• Specialty Physicians of Garrett County, LLC
• The Garrett County Sleep Center
• Jennifer Uphold, PHARMD

• Occupational Medicine Clinic/Center in Friendsville, MD
• Providers in Friendsville, MD by specialty
• Occupational Medicine Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.