Active NPI
Susan A Richardson, O.T.R./L.
- Occupational Therapist
- Kennebunk, ME
National Provider Identifier
1154637817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 313
- Practice address
- 87 Fletcher St
Kennebunk, ME 04043-6850 - Phone
- (207) 985-1100
- NPI assigned
- Aug 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 313 | ME | Primary |
Addresses
Primary practice location
87 Fletcher St
Kennebunk, ME 04043-6850
Mailing address
280 Cole Rd
Kennebunk, ME 04043-6127
Phone (207) 985-6763
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 |
|---|---|---|---|
| 313 | ME | MD | Occupational Therapist |
Practice roles
Organizations & group practices 2
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.
-
- Developmentally Disabled Services Day Training Agency
- Kennebunk, ME
- NPI 1770798175
-
- Local Education Agency (LEA)
- Kennebunk, ME
- NPI 1861607269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282176000000",
"number": "1154637817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 COLE RD",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436127",
"telephone_number": "207-985-6763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 FLETCHER ST",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436850",
"telephone_number": "207-985-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "SUSAN",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "O.T.R./L.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-19",
"last_updated": "2010-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "ME",
"license": "313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennebunk, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.