Kelly Ann Suttle, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2957 Issued in SC

Practice address

110 Coal Creek Dr
Boiling Springs, SC 29316-7008

Phone

(727) 858-7452

NPI assigned

Mar 23, 2015

Last updated

Mar 23, 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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Senior Rehab Source

  • Physical Therapist
  • Spartanburg, SC
  • NPI 1043464118
  NPD

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1215321740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COAL CREEK DR",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293167008",
            "telephone_number": "727-858-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COAL CREEK DR",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293167008",
            "telephone_number": "727-858-7452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTLE",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "2957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Stiling, O.D.
• Madison Vaughn Stockhaus, DPT
• Jeremaih Terry Stout
• Amber Nicole Stroupe, D.O.
• India Mona Suber
• Kelly McHaffie Swain, PHARMD
• Anna Viktorivna Sydorska, PHARMD
• Deborah Jo Taylor, M.D.
• The Ascension Center, LLC
• Therapeutic Alliance, LLC

• Occupational Therapist in Boiling Springs, SC
• Providers in Boiling Springs, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.