Individual provider Active NPI

Suzanne Hansson, M.S., OTR/L

  • Occupational Therapist
  • Decatur, GA
National Provider Identifier
1194180455
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 14729 Issued in CA
Practice address
1456 B McLendon Drive
# 349
Decatur, GA 30307-3030
Phone
(650) 557-8347
Fax
(650) 557-8347
NPI assigned
Dec 30, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT14729 CA
Occupational Therapist 225X00000X OT 14729 CA Primary

Addresses

Primary practice location

1456 B McLendon Drive
# 349
Decatur, GA 30307-3030

Mailing address

144 Moreland Ave NE Unit 349
Atlanta, GA 30307-2689
Phone (650) 557-8347

Other practice location 1

11 D LaGrande Princesse
Christiansted, VI 00820
Phone (340) 718-7997

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT 14729CAMDOccupational Therapist
OT14729CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194180455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 MORELAND AVE NE UNIT 349",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072689",
            "telephone_number": "650-557-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 B MCLENDON DRIVE",
            "address_2": "# 349",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "303073030",
            "telephone_number": "650-557-8347",
            "fax_number": "650-557-8347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 D LaGrande Princesse",
            "address_purpose": "LOCATION",
            "city": "Christiansted",
            "state": "VI",
            "postal_code": "00820",
            "country_code": "US",
            "telephone_number": "340-718-7997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANSSON",
        "first_name": "SUZANNE",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT14729",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 14729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.