Active NPI
Susan McNulty, MA, OTRL
- Occupational Therapist
- Orange, CA
National Provider Identifier
1215074356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 7925
- Practice address
- 812 W Town and Country Rd
Orange, CA 92868-4712 - Phone
- (714) 547-6494
- Fax
- (714) 550-5285
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
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 | OT 7925 | CA | Primary |
Addresses
Primary practice location
812 W Town and Country Rd
Orange, CA 92868-4712
Mailing address
750 27TH St
Manhattan Beach, CA 90266-2363
Phone (310) 357-9936
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 7925 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Occupational Therapy Faculty Practice, Inc. | Occupational Therapist | 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.
-
- Occupational Therapist
- Los Angeles, CA
- NPI 1831297340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215074356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 27TH ST",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902662363",
"telephone_number": "310-357-9936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 W TOWN AND COUNTRY RD",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684712",
"telephone_number": "714-547-6494",
"fax_number": "714-550-5285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNULTY",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "MA, OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT 7925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.