Susan Urias Sandoval, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

4259 Issued in SC

Practice address

254 Red Cedar St
Bluffton, SC 29910-8967

Phone

(843) 815-6999

NPI assigned

Sep 4, 2014

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

Other names 1

• Susan Abbott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1275934663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342313622",
            "telephone_number": "866-989-1114",
            "fax_number": "941-957-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 RED CEDAR ST",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299108967",
            "telephone_number": "843-815-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URIAS SANDOVAL",
        "first_name": "SUSAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "4259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ABBOTT",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lina Marcela Tyler, D.C.
• Ulmer Family Pharmacy and Wellness Center LLC
• Cathy Ulmer, PHARMD
• Roger Wesley Ulrich, M.D.
• Rachel Marie Underwood, PT, DPT
• Louis John Valente, DMD, MD
• Rahmie Valentine, OMD, L.AC.
• Valhalla Enterprises, LLC
• Rosemarie Corinne Van Etten
• Sean Edward Vanmarter, D.P.M.

• Pediatric Occupational Therapist in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.