Active NPI
Susan Nicole Bennett, MOTRL
- Occupational Therapist
- Belington, WV
National Provider Identifier
1245425933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1273
- Practice address
- RR 3 Box 15C
Barbour County Good Samaritan Center
Belington, WV 26250-9422 - Phone
- (304) 823-1791
- Fax
- (304) 823-1934
- NPI assigned
- Sep 6, 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 | 1273 | WV | Primary |
Addresses
Primary practice location
RR 3 Box 15C
Barbour County Good Samaritan Center
Belington, WV 26250-9422
Mailing address
RR 3 Box 15C
Barbour County Good Samaritan Center
Belington, WV 26250-9422
Phone (304) 823-1791
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1273 | WV | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189036800000",
"number": "1245425933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 3 BOX 15C",
"address_2": "BARBOUR COUNTY GOOD SAMARITAN CENTER",
"city": "BELINGTON",
"state": "WV",
"postal_code": "262509422",
"telephone_number": "304-823-1791",
"fax_number": "304-823-1934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RR 3 BOX 15C",
"address_2": "BARBOUR COUNTY GOOD SAMARITAN CENTER",
"city": "BELINGTON",
"state": "WV",
"postal_code": "262509422",
"telephone_number": "304-823-1791",
"fax_number": "304-823-1934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "SUSAN",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "MOTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2007-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WV",
"license": "1273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.