Individual provider Active NPI

Susan G Thornton, OTR/L

  • Occupational Therapist
  • Greenwood, SC
National Provider Identifier
1184724775
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
812 Issued in SC
Practice address
1125 Cambridge Ave E
Greenwood, SC 29646-2946
Phone
(864) 941-5563
Fax
(864) 941-5536
NPI assigned
Sep 23, 2006
Last updated
May 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 812 SC Primary

Addresses

Primary practice location

1125 Cambridge Ave E
Greenwood, SC 29646-2946

Mailing address

1125 Cambridge Ave E
Greenwood, SC 29646-2946
Phone (864) 941-5563

Other identifiers 1

IdentifierTypeStateIssuer
TH0268MedicaidSC

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

LicenseStateTypeSpecialty
812SCMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1184724775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CAMBRIDGE AVE E",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462946",
            "telephone_number": "864-941-5563",
            "fax_number": "864-941-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CAMBRIDGE AVE E",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296462946",
            "telephone_number": "864-941-5563",
            "fax_number": "864-941-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "SUSAN",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH0268",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.