Susan Mary Markle, O.T.R.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT000272 Issued in GA

Practice address

7146 Southlake Pkwy
Morrow, GA 30260-3075

Phone

(770) 960-9961

Fax

(770) 960-9662

NPI assigned

Mar 13, 2007

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

Other names 1

• Susan Mary Leidich Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Peach State Providers Group Inc

  • Physical Therapist
  • Morrow, GA
  • NPI 1629111802
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093848087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 KNOLLWOOD CT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693830",
            "telephone_number": "770-960-9961",
            "fax_number": "770-960-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7146 SOUTHLAKE PKWY",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302603075",
            "telephone_number": "770-960-9961",
            "fax_number": "770-960-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKLE",
        "first_name": "SUSAN",
        "middle_name": "MARY",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT000272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "LEIDICH",
            "middle_name": "MARY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sydoine Mahou, NURSE
• Vera Mahou, NP
• Bradley Mannone, PT
• Gabriella Eliese Maris, MD
• Mark Lynn OD & Associates PC (Visionworks)
• Jennifer Yvonne Marshall, MD
• Ashley Elaine Martin, ACNP-BC
• Stephannie Martin
• Tamika Martin
• Danielle Masi, ATC

• Pediatric Occupational Therapist in Morrow, GA
• Providers in Morrow, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.