Active NPI
Susan Richards
- Occupational Therapist
- Camden, NY
National Provider Identifier
1194183103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 009446-1
- Practice address
- 65 Main St
Camden, NY 13316-1339 - Phone
- (315) 245-4121
- Fax
- (315) 245-4526
- NPI assigned
- Feb 4, 2016
- 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 | 009446-1 | NY | Primary |
Addresses
Primary practice location
65 Main St
Camden, NY 13316-1339
Mailing address
65 Main St
Camden, NY 13316-1339
Phone (315) 245-4121
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009446 | NY | MD | Occupational Therapy Assistant |
| 009446-1 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York State Opwdd | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Voluntary or Charitable Agency
- Camden, NY
- NPI 1891152724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1194183103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 MAIN ST",
"city": "CAMDEN",
"state": "NY",
"postal_code": "133161339",
"telephone_number": "315-245-4121",
"fax_number": "315-245-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 MAIN ST",
"city": "CAMDEN",
"state": "NY",
"postal_code": "133161339",
"telephone_number": "315-245-4121",
"fax_number": "315-245-4526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-04",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NY",
"license": "009446-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.