Suzanne Sutterfield Walters, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT1421 Issued in MS

Practice address

7213 Siwell Road
Byram, MS 39272

Phone

(601) 346-9191

Fax

(601) 346-5011

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Performance Rehab, Inc

  • Physical Therapy Clinic/Center
  • Ridgeland, MS
  • NPI 1568455889
  NPD Authorized official
• Senior Therapy Solutions, LLC

  • Physical Therapist
  • Winter Garden, FL
  • NPI 1962032755

  Occupational Therapist

  NPD (past) Authorized official
• Drayer Physical Therapy Mississippi LLC

  • Physical Therapist
  • Louisville, MS
  • NPI 1952732448

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1285653527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LAKE RIDGE DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108291",
            "telephone_number": "601-346-9191",
            "fax_number": "601-346-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7213 SIWELL ROAD",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "39272",
            "telephone_number": "601-346-9191",
            "fax_number": "601-346-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "SUZANNE",
        "middle_name": "SUTTERFIELD",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT1421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02377597",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaden Van, DMD
• Wal-Mart Stores East LP
• Wal-Mart Stores East LP
• Walgreen Co
• Wall Wellness & Associates LLC
• Kevin Tyrone Wansley Sr., NP
• Chantae Ward, OTR/L
• Kesha Davis Waterman, LPC
• Wee Care Assisted Living, LLC
• Shanice N White, LPC-S, NCC

• Occupational Therapist in Byram, MS
• Providers in Byram, MS by specialty
• Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.