Suzanne Chittom, M.S., OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1487 Issued in MS

Practice address

90A Clark Blvd
Tupelo, MS 38801

Phone

(662) 840-0535

NPI assigned

Jul 29, 2015

Last updated

Jul 29, 2015By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1174908339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 ORCHID CIR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388018222",
            "telephone_number": "662-372-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90A CLARK BLVD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38801",
            "telephone_number": "662-840-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITTOM",
        "first_name": "SUZANNE",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT1487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children's Clinic of Tupelo, PA
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• Jessica Braddock Childs, AGNP
• David J Chisholm, CRNA
• Lakeisha Renae Chism, M.D.
• Leslie Chrestman, M.ED
• James Leland Chrisman, D.D.S.
• Ashley Christian, M.ED.
• Athena Tiwari Christman, MD
• Robynn Christopherson

• Occupational Therapist in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.