Individual provider Active NPI

Susan Little, OTR/L

  • Occupational Therapist
  • Clifton Park, NY
National Provider Identifier
1235473596
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
011383-1 Issued in NY
Practice address
4 Ebony Oaks
Clifton Park, NY 12065-8725
Phone
(508) 768-5442
NPI assigned
Nov 26, 2012
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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 01162 RI
Occupational Therapist 225X00000X 011383-1 NY Primary

Addresses

Primary practice location

4 Ebony Oaks
Clifton Park, NY 12065-8725

Mailing address

4 Ebony Oaks
Clifton Park, NY 12065-8725
Phone (508) 768-5442

Other practice location 1

15 Crestview Dr
Uxbridge, MA 01569-1241
Phone (508) 779-0507

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL nasus131@yahoo.com

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

State licenses

LicenseStateTypeSpecialty
011383-1NYMDOccupational Therapist
01162RIMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1235473596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EBONY OAKS",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120658725",
            "telephone_number": "508-768-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EBONY OAKS",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120658725",
            "telephone_number": "508-768-5442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Crestview Dr",
            "address_purpose": "LOCATION",
            "city": "Uxbridge",
            "state": "MA",
            "postal_code": "015691241",
            "country_code": "US",
            "telephone_number": "508-779-0507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "SUSAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-26",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "01162",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "011383-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nasus131@yahoo.com",
            "affiliation": "N",
            "address_1": "4 Ebony Oaks",
            "city": "Clifton Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120658725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.