Mary Susan Drew, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

4935 Issued in AZ

Practice address

1802 W Parkside LN
Phoenix, AZ 85027-1322

Phone

(602) 943-5472

NPI assigned

Oct 18, 2011

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 names 1

• Mary Susan Wills Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• United Cerebral Palsy Association of Central Arizona

  • Developmentally Disabled Services Day Training Agency
  • Phoenix, AZ
  • NPI 1982673992
  NPD (past)

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1295010577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11843 N 51ST DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041970",
            "telephone_number": "480-600-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 W PARKSIDE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271322",
            "telephone_number": "602-943-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREW",
        "first_name": "MARY",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "4935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WILLS",
            "middle_name": "SUSAN",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ira Dressner, LCSW
• Liana Dressner, LCSW
• Kathleen A Drevitson, CRNFA
• Drew Durbin, DO, PLLC
• Gina Drew
• Richard Drew
• Rupali Drewek, MD
• David J. Drewitz, M.D.
• Lawrence Douglas Drewsen, MD
• Suzanne M Drewsen, M.D.

• Occupational Therapy Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.