Susan Broadhurst, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT0001772 Issued in WA

Practice address

4515 Martin Luther King Jr Way S
Suite 100
Seattle, WA 98108-2182

Phone

(206) 325-5325

Fax

(206) 325-5326

NPI assigned

Feb 3, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: susan.broadhurst@direct.vmmc.org

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1245562172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 MARTIN LUTHER KING JR WAY S",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082182",
            "telephone_number": "206-325-5325",
            "fax_number": "206-325-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 MARTIN LUTHER KING JR WAY S",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981082182",
            "telephone_number": "206-325-5325",
            "fax_number": "206-325-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADHURST",
        "first_name": "SUSAN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT0001772",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "984994",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DEPARTMENT OF HEALTH",
            "identifier": "OT00001772",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON DEPARTMENT OF HEALTH",
            "identifier": "984994",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Brnjic
• Sabrina Rose Broach
• Caroline Broadbent, ARNP
• Charnelle L Broaddus
• Nancy Broaders
• Broadview Development Associates II
• Broadview Development Associates II, a Limited Partnership
• Colin Broadwater
• Mary K Broadwater, P.T
• Broadway Dental Care

• Occupational Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.