Active NPI
Susan Hodge Pretty, OTR
- Pediatric Occupational Therapist
- Charleston, SC
National Provider Identifier
1235340191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 160
- Practice address
- 1483 Tobias Gadson Blvd
Suite 205a
Charleston, SC 29407-8702 - Phone
- (843) 814-3969
- Fax
- (843) 766-2315
- NPI assigned
- May 24, 2007
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 160 | SC | Primary |
Addresses
Primary practice location
1483 Tobias Gadson Blvd
Suite 205a
Charleston, SC 29407-8702
Mailing address
1483 Tobias Gadson Blvd.
Suite 205a
Charleston, SC 29407-4640
Phone (843) 814-3969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| THOO32 | Medicaid | SC |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Next Step of SC, Inc | Pediatrics | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1235340191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1483 TOBIAS GADSON BLVD.",
"address_2": "SUITE 205A",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294074640",
"telephone_number": "843-814-3969",
"fax_number": "843-766-2315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1483 TOBIAS GADSON BLVD",
"address_2": "SUITE 205A",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294078702",
"telephone_number": "843-814-3969",
"fax_number": "843-766-2315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRETTY",
"first_name": "SUSAN",
"middle_name": "HODGE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "SC",
"license": "160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "THOO32",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.