Individual provider Active NPI

Susan Lenn, OCCUPATIONAL THERAPI

  • Occupational Therapist
  • Owensboro, KY
National Provider Identifier
1285799296
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
KYR2829 Issued in KY
Practice address
3026 Hidden Lake PT
Owensboro, KY 42303-4455
Phone
(270) 316-1499
NPI assigned
Dec 27, 2006
Last updated
May 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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 KYR2829 KY Primary
Occupational Therapist 225X00000X 31003543A IN

Addresses

Primary practice location

3026 Hidden Lake PT
Owensboro, KY 42303-4455

Mailing address

323 S Cypress St
Boonville, IN 47601-1739

Other identifiers 3

IdentifierTypeStateIssuer
11903135MedicaidKY
33000035MedicaidKY
45118379MedicaidKY

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
31003543AINMDOccupational Therapist
KYR2829KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Rehab, Inc. Occupational Therapist Past Accepting new patients
Progressive Sports Therapy, LLC. Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241136000000",
    "number": "1285799296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S CYPRESS ST",
            "city": "BOONVILLE",
            "state": "IN",
            "postal_code": "476011739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 HIDDEN LAKE PT",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423034455",
            "telephone_number": "270-316-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENN",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2009-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "KYR2829",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003543A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11903135",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33000035",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45118379",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.